Marshall, S; Bayley, M; McCullagh, S; Velikonja, D; Berrigan, L; Ouchterlony, D; Weegar, K
Updated clinical practice guidelines for concussion/mild traumatic brain injury and persistent symptoms Journal Article
In: Brain Injury, vol. 29, pp. 688–700, 2015.
Abstract | BibTeX | Tags: Overviews
@article{Marshall2015,
title = {Updated clinical practice guidelines for concussion/mild traumatic brain injury and persistent symptoms},
author = {Marshall, S and Bayley, M and McCullagh, S and Velikonja, D and Berrigan, L and Ouchterlony, D and Weegar, K},
year = {2015},
date = {2015-01-01},
journal = {Brain Injury},
volume = {29},
pages = {688--700},
address = {Marshall,Shawn. Ottawa Hospital Research Institute , Ottawa, ON , Canada .},
abstract = {OBJECTIVE: To introduce a set of revised guidelines for the management of mild traumatic brain injury (mTBI) and persistent symptoms following concussive injuries. QUALITY OF EVIDENCE: The Guidelines for Mild Traumatic Brain Injury and Persistent Symptoms were made available in March 2011 based on literature and information up to 2008. A search for new clinical practice guidelines addressing mTBI and a systematic review of the literature evaluating treatment of persistent symptoms was conducted. Healthcare professionals representing a range of disciplines from Canada and abroad attended a consensus conference to revise the original guidelines in light of new evidence. MAIN MESSAGE: A modified Delphi process was used to create 96 recommendations addressing the diagnosis and management of mTBI and persistent symptoms, including post-traumatic headache, sleep disturbances, mental health disorders, cognitive difficulties, vestibular and vision dysfunction, fatigue and return to activity/work/school. Numerous resources, tools and treatment algorithms were also included to aid implementation of the recommendations. CONCLUSION: The revised clinical practice guideline reflects the most current evidence and is recommended for use by clinicians who provide care to people who experience PPCS following mTBI.},
keywords = {Overviews},
pubstate = {published},
tppubtype = {article}
}
Katz, D I; Cohen, S I; Alexander, M P
Mild traumatic brain injury Journal Article
In: Handbook of Clinical Neurology, vol. 127, pp. 131–156, 2015.
Abstract | BibTeX | Tags: Overviews
@article{Katz2015,
title = {Mild traumatic brain injury},
author = {Katz, D I and Cohen, S I and Alexander, M P},
year = {2015},
date = {2015-01-01},
journal = {Handbook of Clinical Neurology},
volume = {127},
pages = {131--156},
address = {Katz,Douglas I. Department of Neurology, Boston University School of Medicine, Boston, MA, USA; Acquired Brain Injury Program, Braintree Rehabilitation Hospital, Braintree, MA, USA. Electronic address: dkatz@bu.edu. Cohen,Sara I. Acquired Brain Injury Pro},
abstract = {Mild traumatic brain injury (TBI) is common but accurate diagnosis and defining criteria for mild TBI and its clinical consequences have been problematic. Mild TBI causes transient neurophysiologic brain dysfunction, sometimes with structural axonal and neuronal damage. Biomarkers, such as newer imaging technologies and protein markers, are promising indicators of brain injury but are not ready for clinical use. Diagnosis relies on clinical criteria regarding depth and duration of impaired consciousness and amnesia. These criteria are particularly difficult to confirm at the least severe end of the mild TBI continuum, especially when relying on subjective, retrospective accounts. The postconcussive syndrome is a controversial concept because of varying criteria, inconsistent symptom clusters and the evidence that similar symptom profiles occur with other disorders, and even in a proportion of healthy individuals. The clinical consequences of mild TBI can be conceptualized as two multidimensional disorders: (1) a constellation of acute symptoms that might be termed early phase post-traumatic disorder (e.g., headache, dizziness, imbalance, fatigue, sleep disruption, impaired cognition), that typically resolve in days to weeks and are largely related to brain trauma and concomitant injuries; (2) a later set of symptoms, a late phase post-traumatic disorder, evolving out of the early phase in a minority of patients, with a more prolonged (months to years), sometimes worsening set of somatic, emotional, and cognitive symptoms. The later phase disorder is highly influenced by a variety of psychosocial factors and has little specificity for brain injury, although a history of multiple concussions seems to increase the risk of more severe and longer duration symptoms. Effective early phase management may prevent or limit the later phase disorder and should include education about symptoms and expectations for recovery, as well as recommendations for activity modifications. Later phase treatment should be informed by thoughtful differential diagnosis and the multiplicity of premorbid and comorbid conditions that may influence symptoms. Treatment should incorporate a hierarchical, sequential approach to symptom management, prioritizing problems with significant functional impact and effective, available interventions (e.g., headache, depression, anxiety, insomnia, vertigo).},
keywords = {Overviews},
pubstate = {published},
tppubtype = {article}
}
Laker, S R
Sports-Related Concussion Journal Article
In: Current Pain & Headache Reports, vol. 19, pp. 510, 2015.
Abstract | BibTeX | Tags: Overviews
@article{Laker2015,
title = {Sports-Related Concussion},
author = {Laker, S R},
year = {2015},
date = {2015-01-01},
journal = {Current Pain \& Headache Reports},
volume = {19},
pages = {510},
address = {Laker,Scott R. Department of Physical Medicine and Rehabilitation, University of Colorado School of Medicine, Mail Stop F493, 12631 East 17th Avenue, Aurora, CO, 80045, USA, scott.laker@ucdenver.edu.},
abstract = {Sports-related concussions (SRC) are common in all ages and occur in all sports. The diagnosis based on clinical suspicion after more serious injury is ruled out. Symptoms of concussion are due to a temporary and reversible neurometabolic cascade resulting in blood flow changes, neuronal excitotoxicity, ionic shifts, and mitochondrial changes. Symptoms are nonspecific, and commonly include headache, cognitive complaints, photophobia, and phonophobia. Loss of consciousness is rare in SRC and has limited influence on recovery and prognosis. Imaging has a limited role in the management of concussion and should be used to evaluate for more serious intracranial pathology. Treatment is based on symptoms and an understanding of the typical, rapid (7-10 days) recovery. No athlete should return to play until their symptoms have resolved and they have completed a supervised, step-wise return to play protocol. The article covers the most recent literature on the diagnosis and management of SRC, including evidence-based recommendations and expert-based consensus opinion. The article will also discuss issues regarding medical retirement, legislation, and future concepts in concussion diagnosis and management.},
keywords = {Overviews},
pubstate = {published},
tppubtype = {article}
}
Kushner, D S
Strategies to avoid a missed diagnosis of co-occurring concussion in post-acute patients having a spinal cord injury Journal Article
In: Neural Regeneration Research, vol. 10, pp. 859–861, 2015.
Abstract | BibTeX | Tags: Overviews
@article{Kushner2015,
title = {Strategies to avoid a missed diagnosis of co-occurring concussion in post-acute patients having a spinal cord injury},
author = {Kushner, D S},
year = {2015},
date = {2015-01-01},
journal = {Neural Regeneration Research},
volume = {10},
pages = {859--861},
address = {Kushner,David S. Department of Physical Medicine \& Rehabilitation, University of Miami Miller School of Medicine, Miami, FL, USA.},
abstract = {Research scientists and clinicians should be aware that missed diagnoses of mild-moderate traumatic brain injuries in post-acute patients having spinal cord injuries may approach 60-74% with certain risk factors, potentially causing clinical consequences for patients, and confounding the results of clinical research studies. Factors leading to a missed diagnosis may include acute trauma-related life-threatening issues, sedation/intubation, subtle neuropathology on neuroimaging, failure to collect Glasgow Coma Scale scores or duration of posttraumatic amnesia, or lack of validity of this information, and overlap in neuro-cognitive symptoms with emotional responses to spinal cord injuries. Strategies for avoiding a missed diagnosis of mild-moderate traumatic brain injuries in patients having a spinal cord injuries are highlighted in this perspective.},
keywords = {Overviews},
pubstate = {published},
tppubtype = {article}
}
Holt, G R
Sports concussions and traumatic brain injury Journal Article
In: Southern Medical Journal, vol. 107, pp. 114, 2014.
@article{Holt2014,
title = {Sports concussions and traumatic brain injury},
author = {Holt, G R},
year = {2014},
date = {2014-01-01},
journal = {Southern Medical Journal},
volume = {107},
pages = {114},
address = {From the Department of Otolaryngology-Head and Neck Surgery, University of Texas Health Science Center, San Antonio.},
keywords = {Overviews},
pubstate = {published},
tppubtype = {article}
}
Slobounov, S; Bazarian, J; Bigler, E; Cantu, R; Hallett, M; Harbaugh, R; Hovda, D; Mayer, A R; Nuwer, M R; Kou, Z; Lazzarino, G; Papa, L; Vagnozzi, R
Sports-related concussion: ongoing debate Journal Article
In: British Journal of Sports Medicine, vol. 48, pp. 75–76, 2014.
@article{Slobounov2014a,
title = {Sports-related concussion: ongoing debate},
author = {Slobounov, S and Bazarian, J and Bigler, E and Cantu, R and Hallett, M and Harbaugh, R and Hovda, D and Mayer, A R and Nuwer, M R and Kou, Z and Lazzarino, G and Papa, L and Vagnozzi, R},
year = {2014},
date = {2014-01-01},
journal = {British Journal of Sports Medicine},
volume = {48},
pages = {75--76},
address = {Department of Kinesiology and Neurosurgery, Penn State Center for Sports Concussion, The Pennsylvania State University, Penn State Hershey Medical Center, , University Park, Pennsylvania, USA.},
keywords = {Overviews},
pubstate = {published},
tppubtype = {article}
}
Tucker, A M
Update on sports concussion Journal Article
In: Current Reviews in Musculoskeletal Medicine, vol. 7, pp. 366–372, 2014.
Abstract | BibTeX | Tags: Overviews
@article{Tucker2014,
title = {Update on sports concussion},
author = {Tucker, A M},
year = {2014},
date = {2014-01-01},
journal = {Current Reviews in Musculoskeletal Medicine},
volume = {7},
pages = {366--372},
address = {Tucker,Andrew M. Medstar Union Memorial Sports Medicine, 1407 York Road, Suite 100A, Lutherville, MD, 21093, USA, Andrew.Tucker@medstar.net.},
abstract = {Over the past 20 years, sports concussion has become one of the most researched topics in sports medicine. Significant resources have been allocated to the study of this issue, with a dramatic increase in information concerning most aspects of this common sports injury. In light of this considerable increase in research, this review is offered to provide clinicians involved in the care of athletes a summary of key features of the evaluation and management of sports concussion with attention to recent contributions to the literature.},
keywords = {Overviews},
pubstate = {published},
tppubtype = {article}
}
Maroon, J C; Mathyssek, C; Bost, J
Cerebral concussion: a historical perspective Journal Article
In: Progress in Neurological Surgery, vol. 28, pp. 1–13, 2014.
Abstract | BibTeX | Tags: Overviews
@article{Maroon2014,
title = {Cerebral concussion: a historical perspective},
author = {Maroon, J C and Mathyssek, C and Bost, J},
year = {2014},
date = {2014-01-01},
journal = {Progress in Neurological Surgery},
volume = {28},
pages = {1--13},
address = {Department of Neurosurgery, University of Pittsburgh Medical Center, Pittsburgh, Pa., USA.},
abstract = {No topic in sports has gathered more attention and publicity than the diagnosis, management, and long-term effects of cerebral concussion. The relevant history of concussion starts in 1905 when President Theodore Roosevelt drew attention to the football 'death harvest'. Soon after, rules started to change to reduce the amount and severity of head injuries in football. Up until 1980, the primary focus regarding concussions was to diagnose a potentially fatal intracranial hemorrhage. While aware of long-term consequences of concussions, the perception at the time was that virtually all concussions would 'clear' with time and rest. Concussion management guidelines gave way to objective neuropsychological testing in the early 1990s with the development of the ImPACT (Immediate Post-Concussion Assessment and Cognitive Testing) neurocognitive test. Led by organized football, in 1994 the National Football League (NFL) formed the Mild Traumatic Brain Injury Committee which began to investigate the cause of concussions, evaluate equipment (particularly helmets), and recommend methods for prevention. In 2005, the first case of chronic traumatic encephalopathy was described in a deceased football player, raising concerns about the long-term consequences of head injuries and concussions. Major advancements in contact sports and the military are underway to reduce the incidence of concussions and subconcussive blows to the head. 2014 S. Karger AG, Basel.},
keywords = {Overviews},
pubstate = {published},
tppubtype = {article}
}
Baldea, J D
In response to: time to re-think the Zurich Guidelines? A critique on the consensus statement on concussion in Sport: the 4th International Conference on Concussion in Sport, held in Zurich, November 2012 Journal Article
In: Clinical Journal of Sport Medicine, vol. 24, pp. 521–522, 2014.
@article{Baldea2014,
title = {In response to: time to re-think the Zurich Guidelines? A critique on the consensus statement on concussion in Sport\: the 4th International Conference on Concussion in Sport, held in Zurich, November 2012},
author = {Baldea, J D},
year = {2014},
date = {2014-01-01},
journal = {Clinical Journal of Sport Medicine},
volume = {24},
pages = {521--522},
address = {Baldea,John D. Director, Primary Care Sports Medicine Fellowship Department of Family Medicine, Indiana University School of Medicine, Indianapolis, Indiana.},
keywords = {Overviews},
pubstate = {published},
tppubtype = {article}
}
Piazza, S
Why is it so hard to stop sports concussions? Journal Article
In: American Scientist, vol. 102, pp. 346–349, 2014.
Abstract | Links | BibTeX | Tags: Overviews
@article{Piazza2014,
title = {Why is it so hard to stop sports concussions?},
author = {Piazza, S},
doi = {10.1511/2014.110.346},
year = {2014},
date = {2014-01-01},
journal = {American Scientist},
volume = {102},
pages = {346--349},
abstract = {Human behavior conspires with the complex mechanics of head impacts to keep injury rates high. Recent research shows why so many sports injuries keep occurring and points to some possible solutions. Protecting the brain from concussion and chronic traumatic encephalopathy requires more than just increasing the amount of helmet padding. It necessitates an understanding of how brain injury differs from the cracking of an egg dropped on the floor, and how helmets influence the behavior of those who wear them. The threads connecting the egg to the lid of the jar twist around one another and either break or tear away a piece of the egg's shell. Making things more confusing, researchers have not yet been able to identify a single factor that determines the threshold for concussion. The proposed multi-factorial measure was more predictive of concussion than guessing, suggesting that the causes of concussion are complex and cannot be identified by a single biomechanical variable.},
keywords = {Overviews},
pubstate = {published},
tppubtype = {article}
}
Giza, C C; Kutcher, J S
An introduction to sports concussions Journal Article
In: CONTINUUM: Lifelong Learning in Neurology, vol. 20, pp. 1545–1551, 2014.
Abstract | BibTeX | Tags: Overviews
@article{Giza2014,
title = {An introduction to sports concussions},
author = {Giza, C C and Kutcher, J S},
year = {2014},
date = {2014-01-01},
journal = {CONTINUUM: Lifelong Learning in Neurology},
volume = {20},
pages = {1545--1551},
abstract = {PURPOSE OF REVIEW: Concussions are a major public health issue, and particularly so in the setting of sports. Millions of athletes of all ages may face the risks of concussion and repeat concussion. This article introduces the terminology, epidemiology, and underlying pathophysiology associated with concussion, focused on sports-related injuries. RECENT FINDINGS: Concussion is a clinical syndrome of symptoms and signs occurring after biomechanical force is imparted to the brain. Because of the subjective nature of symptom reporting, definitions of concussion differ slightly in different guidelines. Concussion nomenclature also includes mild traumatic brain injury, postconcussion symptoms, postconcussion syndrome, chronic neurocognitive impairment, subconcussive injury, and chronic traumatic encephalopathy. Between 1.6 and 3.8 million sports-related concussions are estimated in the United States annually, particularly in youth athletes. Rates of concussion are higher in sports such as football, rugby, ice hockey, and wrestling in males, and soccer and basketball in females. The underlying pathophysiology of concussion centers on membrane leakage, ionic flux, indiscriminate glutamate release, and energy crisis. These initial events then trigger ongoing metabolic impairment, vulnerability to second injury, altered neural activation, and axonal dysfunction. While the linkage between acute neurobiology and chronic deficits remains to be elucidated, activation of cell death pathways, ongoing inflammation, persistent metabolic problems, and accumulation of abnormal or toxic proteins have all been implicated. SUMMARY: Concussion is a biomechanically induced syndrome of neural dysfunction. Millions of concussions occur annually, many of them related to sports. Biologically, a complex sequence of events occurs from initial ionic flux, glutamate release, and axonal damage, resulting in vulnerability to second injury and possibly to longer-term neurodegeneration.},
keywords = {Overviews},
pubstate = {published},
tppubtype = {article}
}
Sharma, B; Lawrence, D W
Top-cited articles in traumatic brain injury Journal Article
In: Frontiers in Human Neuroscience, vol. 8, pp. 879, 2014.
Abstract | BibTeX | Tags: Overviews
@article{Sharma2014a,
title = {Top-cited articles in traumatic brain injury},
author = {Sharma, B and Lawrence, D W},
year = {2014},
date = {2014-01-01},
journal = {Frontiers in Human Neuroscience},
volume = {8},
pages = {879},
address = {Sharma,Bhanu. Toronto Rehabilitation Institute, University of Toronto , Toronto, ON , Canada. Lawrence,David Wyndham. Department of Family and Community Medicine, St. Michael's Hospital, University of Toronto , Toronto, ON , Canada.},
abstract = {A review of the top-cited articles in a scientific discipline can identify areas of research that are well established and those in need of further development, and may, as a result, inform and direct future research efforts. Our objective was to identify and characterize the top-cited articles in traumatic brain injury (TBI). We used publically available software to identify the 50 TBI articles with the most lifetime citations, and the 50 TBI articles with the highest annual citation rates. A total of 73 articles were included in this review, with 27 of the 50 papers with the highest annual citation rates common to the cohort of 50 articles with the most lifetime citations. All papers were categorized by their primary topic or focus, namely: predictor of outcome, pathology/natural history, treatment, guidelines and consensus statements, epidemiology, assessment measures, or experimental model of TBI. The mean year of publication of the articles with the most lifetime citations and highest annual citation rates was 1990+/-14.9years and 2003+/-6.7years, respectively. The 50 articles with the most lifetime citations typically studied predictors of outcome (34.0%, 17/50) and were specific to severe TBI (38.0%, 19/50). In contrast, the most common subject of papers with the highest annual citation rates was treatment of brain injury (22.0%, 11/50), and these papers most frequently investigated mild TBI (36.0%, 18/50). These findings suggest an intensified focus on mild TBI, which is perhaps a response to the dedicated attention these injuries are currently receiving in the context of sports and war, and because of their increasing incidence in developing nations. Our findings also indicate increased focus on treatment of TBI, possibly due to the limited efficacy of current interventions for brain injury. This review provides a cross-sectional summary of some of the most influential articles in TBI, and a bibliometric examination of the current status of TBI research.},
keywords = {Overviews},
pubstate = {published},
tppubtype = {article}
}
Miles, C M
Concussion management: The current landscape Journal Article
In: JAAPA, vol. 27, pp. 8–9, 2014.
@article{Miles2014,
title = {Concussion management: The current landscape},
author = {Miles, C M},
year = {2014},
date = {2014-01-01},
journal = {JAAPA},
volume = {27},
pages = {8--9},
address = {Christopher M. Miles is an assistant professor in the Department of Family and Community Medicine and assistant program director of the Primary Care Sports Medicine Fellowship at Wake Forest School of Medicine in Winston-Salem, N.C. The author has indicat},
keywords = {Overviews},
pubstate = {published},
tppubtype = {article}
}
Master, C L; Balcer, L; Collins, M
Concussion Journal Article
In: Annals of Internal Medicine, vol. 160, no. 3, pp. ITC2–1, 2014.
BibTeX | Tags: *Brain Concussion, Brain Concussion/di [Diagnosis], Brain Concussion/pc [Prevention & Control], Brain Concussion/th [Therapy], Humans, Overviews, Patient Education as Topic, Prognosis
@article{Master2014,
title = {Concussion},
author = {Master, C L and Balcer, L and Collins, M},
year = {2014},
date = {2014-01-01},
journal = {Annals of Internal Medicine},
volume = {160},
number = {3},
pages = {ITC2--1},
keywords = {*Brain Concussion, Brain Concussion/di [Diagnosis], Brain Concussion/pc [Prevention \& Control], Brain Concussion/th [Therapy], Humans, Overviews, Patient Education as Topic, Prognosis},
pubstate = {published},
tppubtype = {article}
}
Neselius, S; Brisby, H
Sport-related concussions: time to diversify care and recommendation advice Journal Article
In: Knee Surgery, Sports Traumatology, Arthroscopy, vol. 22, pp. 233–234, 2014.
@article{Neselius2014b,
title = {Sport-related concussions: time to diversify care and recommendation advice},
author = {Neselius, S and Brisby, H},
year = {2014},
date = {2014-01-01},
journal = {Knee Surgery, Sports Traumatology, Arthroscopy},
volume = {22},
pages = {233--234},
address = {Department of Orthopaedics, Sahlgrenska University Hospital, 413 45, Goteborg, Sweden, sanna.neselius@vgregion.se.},
keywords = {Overviews},
pubstate = {published},
tppubtype = {article}
}
Fremont, P
In response to: time to re-think the Zurich Guidelines? A critique on the consensus statement on Concussion in Sport: the 4th International Conference on Concussion in Sport, held in Zurich, November 2012 Journal Article
In: Clinical Journal of Sport Medicine, vol. 24, pp. 520–521, 2014.
@article{Fremont2014,
title = {In response to: time to re-think the Zurich Guidelines? A critique on the consensus statement on Concussion in Sport\: the 4th International Conference on Concussion in Sport, held in Zurich, November 2012},
author = {Fremont, P},
year = {2014},
date = {2014-01-01},
journal = {Clinical Journal of Sport Medicine},
volume = {24},
pages = {520--521},
address = {Fremont,Pierre. Canadian Academy of Sport and Exercise Medicine, Quebec City, Quebec, Canada and Department of Rehabilitation, Faculty of Medicine, Laval University, Quebec City, Quebec, Canada.},
keywords = {Overviews},
pubstate = {published},
tppubtype = {article}
}
West, T A; Marion, D W
Current recommendations for the diagnosis and treatment of concussion in sport: a comparison of three new guidelines Journal Article
In: Journal of Neurotrauma, vol. 31, pp. 159–168, 2014.
Abstract | BibTeX | Tags: Overviews
@article{West2014,
title = {Current recommendations for the diagnosis and treatment of concussion in sport: a comparison of three new guidelines},
author = {West, T A and Marion, D W},
year = {2014},
date = {2014-01-01},
journal = {Journal of Neurotrauma},
volume = {31},
pages = {159--168},
address = {Defense and Veterans Brain Injury Center , Silver Spring, Maryland.},
abstract = {Abstract Currently, there is considerable debate within the sports medicine community about the role of concussion and the risk of chronic neurological sequelae. This concern has led to significant confusion among primary care providers and athletic trainers about how to best identify those athletes at risk and how to treat those with concussion. During the first quarter of 2013, several new or updated clinical practice guidelines and position statements were published on the diagnosis, treatment, and management of mild traumatic brain injury/concussion in sports. Three of these guidelines were produced by the American Medical Society for Sports Medicine, The American Academy of Neurology, and the Zurich Consensus working group. The goal of each group was to clearly define current best practices for the definition, diagnosis, and acute and post-acute management of sports-related concussion, including specific recommendations for return to play. In this article, we compare the recommendations of each of the three groups, and highlight those topics for which there is consensus regarding the definition of concussion, diagnosis, and acute care of athletes suspected of having a concussion, as well as return-to-play recommendations.},
keywords = {Overviews},
pubstate = {published},
tppubtype = {article}
}
Kutcher, J S; Giza, C C
Sports concussion diagnosis and management Journal Article
In: CONTINUUM: Lifelong Learning in Neurology, vol. 20, pp. 1552–1569, 2014.
Abstract | BibTeX | Tags: Overviews
@article{Kutcher2014a,
title = {Sports concussion diagnosis and management},
author = {Kutcher, J S and Giza, C C},
year = {2014},
date = {2014-01-01},
journal = {CONTINUUM: Lifelong Learning in Neurology},
volume = {20},
pages = {1552--1569},
abstract = {PURPOSE OF REVIEW: To provide the neurologist with a framework for the clinical approach to sports concussion diagnosis and management. RECENT FINDINGS: As the issue of brain injury in athletes has emerged and developed, shifting the landscape of public concern, neurologists have become more directly involved in the diagnosis and management of sports concussion. Neurologists are now playing an increased role in acute concussion diagnosis, early injury management, return-to-play decisions, and evaluation for potential long-term effects from exposure to biomechanical forces on brain health. Concussion is only one part of this spectrum, but it is no small concern. Sports concussion diagnosis and management require a comprehensive neurologic approach as the return-to-play decision is a medical one covering a spectrum of potential complications and future risks. Understanding the clinical syndrome of concussion as well as the underlying pathophysiologic mechanism is essential to providing care. Employing classic neurologic diagnostic techniques while concurrently respecting the unique nature of caring for athletes is also critical. Without an objective method of measuring the underlying metabolic injury, concussion management is, by necessity, a clinically intense endeavor that requires a broad skill set. SUMMARY: Providing recommendations regarding the long-term effects of brain trauma and the need for retirement from contact sports requires an appreciation for both the reason for concern and the lack of data to frame this risk. As science continues to advance in this area, so will our diagnostic approaches and management schema. Neurologists caring for athletes with brain trauma should continue to seek the best possible evidence to help shape their clinical decisions.},
keywords = {Overviews},
pubstate = {published},
tppubtype = {article}
}
Broglio, S P; Cantu, R C; Gioia, G A; Guskiewicz, K M; Kutcher, J; Palm, M; Valovich McLeod, T C
National Athletic Trainers' Association position statement: management of sport concussion Journal Article
In: Journal of Athletic Training, vol. 49, pp. 245–265, 2014.
Abstract | BibTeX | Tags: Overviews
@article{Broglio2014,
title = {National Athletic Trainers' Association position statement: management of sport concussion},
author = {Broglio, S P and Cantu, R C and Gioia, G A and Guskiewicz, K M and Kutcher, J and Palm, M and {Valovich McLeod}, T C},
year = {2014},
date = {2014-01-01},
journal = {Journal of Athletic Training},
volume = {49},
pages = {245--265},
address = {University of Michigan, Ann Arbor.},
abstract = {OBJECTIVE: To provide athletic trainers, physicians, and other health care professionals with best-practice guidelines for the management of sport-related concussions. BACKGROUND: An estimated 3.8 million concussions occur each year in the United States as a result of sport and physical activity. Athletic trainers are commonly the first medical providers available onsite to identify and evaluate these injuries. RECOMMENDATIONS: The recommendations for concussion management provided here are based on the most current research and divided into sections on education and prevention, documentation and legal aspects, evaluation and return to play, and other considerations.},
keywords = {Overviews},
pubstate = {published},
tppubtype = {article}
}
Patricios, J S; Makdissi, M
The sports concussion picture: fewer 'pixels', more HD Journal Article
In: British Journal of Sports Medicine, vol. 48, pp. 71–72, 2014.
@article{Patricios2014c,
title = {The sports concussion picture: fewer 'pixels', more HD},
author = {Patricios, J S and Makdissi, M},
year = {2014},
date = {2014-01-01},
journal = {British Journal of Sports Medicine},
volume = {48},
pages = {71--72},
address = {Section of Sports Medicine, Faculty of Health Sciences, University of Pretoria, , Pretoria, Johannesburg, South Africa.},
keywords = {Overviews},
pubstate = {published},
tppubtype = {article}
}
Harmon, K G; Drezner, J A; Gammons, M
Erratum: American Medical Society for Sports Medicine position statement: Concussion in sport (British Journal of Sports Medicine (2013) 47 (15-26)) Journal Article
In: British Journal of Sports Medicine, vol. 47, pp. 184, 2013.
@article{Harmon2013b,
title = {Erratum: American Medical Society for Sports Medicine position statement: Concussion in sport (British Journal of Sports Medicine (2013) 47 (15-26))},
author = {Harmon, K G and Drezner, J A and Gammons, M},
year = {2013},
date = {2013-01-01},
journal = {British Journal of Sports Medicine},
volume = {47},
pages = {184},
keywords = {Overviews},
pubstate = {published},
tppubtype = {article}
}
Purcell, Laura; Kissick, Jamie; Rizos, John
Concussion Journal Article
In: CMAJ: Canadian Medical Association Journal, vol. 185, no. 11, pp. 981, 2013, ISBN: 08203946.
Abstract | Links | BibTeX | Tags: Assessment/Testing, BRAIN -- Concussion, BRAIN -- Diseases, BRAIN -- Imaging, BRAIN -- Wounds & injuries, BRAIN function localization, Children Under 13, Overviews
@article{Purcell2013,
title = {Concussion},
author = {Purcell, Laura and Kissick, Jamie and Rizos, John},
doi = {10.1503/cmaj.120039},
isbn = {08203946},
year = {2013},
date = {2013-01-01},
journal = {CMAJ: Canadian Medical Association Journal},
volume = {185},
number = {11},
pages = {981},
abstract = {The article offers information on several topics related to concussions which includes effects of brain trauma on brain functioning, Sport Concussion Assessment Tool 3 and ChildSCAT3 for evaluation of concussion and standard imaging. It also mentions that physical and mental rest is involved in management of acute concussion.},
keywords = {Assessment/Testing, BRAIN -- Concussion, BRAIN -- Diseases, BRAIN -- Imaging, BRAIN -- Wounds \& injuries, BRAIN function localization, Children Under 13, Overviews},
pubstate = {published},
tppubtype = {article}
}
Onieal, Marie-Eileen
Don't Put Me in, Coach Journal Article
In: Clinician Reviews, vol. 23, pp. 10–11, 2013, ISBN: 10520627.
Abstract | BibTeX | Tags: 1969-2012, BRAIN -- Concussion, BRAIN -- Wounds & injuries -- Prevention, Football (American), HIGH school football players, Junior, Legal & Policy Issues, Overviews, SEAU, SPORTS injuries, Treatment
@article{Onieal2013,
title = {Don't Put Me in, Coach},
author = {Onieal, Marie-Eileen},
isbn = {10520627},
year = {2013},
date = {2013-01-01},
journal = {Clinician Reviews},
volume = {23},
pages = {10--11},
abstract = {The author reflects on traumatic brain injury (TBI) sustained by athletes. She highlights the need for TBI awareness by mentioning a study on high school football players in 2010, the suicide of former football player Junior Seau in May 2012 and laws regarding concussion management. She asserts the need for TBI prevention and suggests that minor injuries be brought to closer investigation.},
keywords = {1969-2012, BRAIN -- Concussion, BRAIN -- Wounds \& injuries -- Prevention, Football (American), HIGH school football players, Junior, Legal \& Policy Issues, Overviews, SEAU, SPORTS injuries, Treatment},
pubstate = {published},
tppubtype = {article}
}
Kelly, Judy C; Amerson, Efland H; Barth, Jeffrey T
Mild traumatic brain injury: lessons learned from clinical, sports, and combat concussions Journal Article
In: Rehabilitation Research & Practice, vol. 2012, 2012.
Abstract | BibTeX | Tags: Overviews
@article{Kelly2012a,
title = {Mild traumatic brain injury: lessons learned from clinical, sports, and combat concussions},
author = {Kelly, Judy C and Amerson, Efland H and Barth, Jeffrey T},
year = {2012},
date = {2012-01-01},
journal = {Rehabilitation Research \& Practice},
volume = {2012},
address = {Department of Psychiatry \& Neurobehavioral Sciences, University of Virginia, Charlottesville, VA 22908, USA.},
abstract = {Over the past forty years, a tremendous amount of information has been gained on the mechanisms and consequences of mild traumatic brain injuries. Using sports as a laboratory to study this phenomenon, a natural recovery curve emerged, along with standards for managing concussions and returning athletes back to play. Although advances have been made in this area, investigation into recovery and return to play continues. With the increase in combat-related traumatic brain injuries in the military setting, lessons learned from sports concussion research are being applied by the Department of Defense to the assessment of blast concussions and return to duty decision making. Concussion management and treatment for military personnel can be complicated by additional combat related stressors not present in the civilian environment. Cognitive behavioral therapy is one of the interventions that has been successful in treating symptoms of postconcussion syndrome. While we are beginning to have an understanding of the impact of multiple concussions and subconcussive blows in the sports world, much is still unknown about the impact of multiple blast injuries.},
keywords = {Overviews},
pubstate = {published},
tppubtype = {article}
}
Kirkwood, Michael W; Randolph, Christopher; Yeates, Keith O
Sport-related concussion: a call for evidence and perspective amidst the alarms Journal Article
In: Clinical Journal of Sport Medicine, vol. 22, pp. 383–384, 2012.
@article{Kirkwood2012,
title = {Sport-related concussion: a call for evidence and perspective amidst the alarms},
author = {Kirkwood, Michael W and Randolph, Christopher and Yeates, Keith O},
year = {2012},
date = {2012-01-01},
journal = {Clinical Journal of Sport Medicine},
volume = {22},
pages = {383--384},
keywords = {Overviews},
pubstate = {published},
tppubtype = {article}
}
Neal, Matthew T; Wilson, Jonathan L; Hsu, Wesley; Powers, Alexander K
Concussions: What a neurosurgeon should know about current scientific evidence and management strategies Journal Article
In: Surgical Neurology International, vol. 3, pp. 16, 2012.
Abstract | BibTeX | Tags: Overviews
@article{Neal2012,
title = {Concussions: What a neurosurgeon should know about current scientific evidence and management strategies},
author = {Neal, Matthew T and Wilson, Jonathan L and Hsu, Wesley and Powers, Alexander K},
year = {2012},
date = {2012-01-01},
journal = {Surgical Neurology International},
volume = {3},
pages = {16},
address = {Department of Neurosurgery, Wake Forest University School of Medicine, Winston-Salem, NC 27157, USA.},
abstract = {BACKGROUND: There has been a tremendous amount of interest focused on the topic of concussions over the past few decades. Neurosurgeons are frequently consulted to manage patients with mild traumatic brain injuries (mTBI) that have radiographic evidence of cerebral injury. These injuries share significant overlap with concussions, injuries that typically do not reveal radiographic evidence of structural injury, in the realms of epidemiology, pathophysiology, outcomes, and management. Further, neurosurgeons often manage patients with extracranial injuries that have concomitant concussions. In these cases, neurosurgeons are often the only "concussion experts" that patients encounter. RESULTS: The literature has been reviewed and data have been synthesized on the topic including sections on historical background, epidemiology, pathophysiology, diagnostic advances, clinical sequelae, and treatment suggestions, with neurosurgeons as the intended target audience. CONCLUSIONS: Neurosurgeons should have a fundamental knowledge of the scientific evidence that has developed regarding concussions and be prepared to guide patients with treatment plans.},
keywords = {Overviews},
pubstate = {published},
tppubtype = {article}
}
Khurana, Vini G; Kaye, Andrew H
An overview of concussion in sport Journal Article
In: Journal of Clinical Neuroscience, vol. 19, pp. 1–11, 2012.
Abstract | BibTeX | Tags: Overviews
@article{Khurana2012,
title = {An overview of concussion in sport},
author = {Khurana, Vini G and Kaye, Andrew H},
year = {2012},
date = {2012-01-01},
journal = {Journal of Clinical Neuroscience},
volume = {19},
pages = {1--11},
address = {Department of Neurosurgery, The Royal Melbourne Hospital, Grattan Street, Parkville, Victoria 3050, Australia.},
abstract = {Concussion is a sudden-onset, transient alteration of consciousness due to a combination of functional and structural brain disturbances following a physical impact transmitted to the brain. It is a common, although likely underreported, condition encountered in a wide range of sports. In the Australian Football League, concussion is estimated to occur at a rate of approximately seven injuries per team per season. While many instances of concussion are clinically mild, there is emerging evidence that a player's full recovery from a concussive injury may be more delayed and the sequelae of repeated concussions more severe than previously thought. In this light, a more conservative and rigorous approach to managing players with concussive injuries may be warranted, with the guiding principle being the player's immediate and long-term welfare. The current paper reviews the sports concussion literature. The definition, epidemiology, aetiology, pathophysiology, structural pathology, clinical features, assessment and investigation, treatment principles, and short-term and potential long-term complications of concussion are discussed. Special considerations in paediatric sports concussion, and the return-to-play implications of immediate, evolving and repetitive brain injury are also considered, as are the emerging concept and possible implications of subconcussive injury.},
keywords = {Overviews},
pubstate = {published},
tppubtype = {article}
}
Sahler, C S; Greenwald, B D
Traumatic brain injury in sports: a review Journal Article
In: Rehabilitation Research & Practice Print, vol. 2012, pp. 659652, 2012.
Abstract | BibTeX | Tags: Overviews
@article{Sahler2012,
title = {Traumatic brain injury in sports: a review},
author = {Sahler, C S and Greenwald, B D},
year = {2012},
date = {2012-01-01},
journal = {Rehabilitation Research \& Practice Print},
volume = {2012},
pages = {659652},
address = {Department of Physical Medicine and Rehabilitation, The Mount Sinai Hospital, One Gustave L. Levy Place, P.O. Box 1240, New York, NY 10029, USA.},
abstract = {Traumatic brain injury (TBI) is a clinical diagnosis of neurological dysfunction following head trauma, typically presenting with acute symptoms of some degree of cognitive impairment. There are an estimated 1.7 to 3.8 million TBIs each year in the United States, approximately 10 percent of which are due to sports and recreational activities. Most brain injuries are self-limited with symptom resolution within one week, however, a growing amount of data is now establishing significant sequelae from even minor impacts such as headaches, prolonged cognitive impairments, or even death. Appropriate diagnosis and treatment according to standardized guidelines are crucial when treating athletes who may be subjected to future head trauma, possibly increasing their likelihood of long-term impairments.},
keywords = {Overviews},
pubstate = {published},
tppubtype = {article}
}
Almasi, Stephen J; Wilson, John J
An update on the diagnosis and management of concussion Journal Article
In: WMJ, vol. 111, pp. 21–7; quiz 28, 2012.
Abstract | BibTeX | Tags: Overviews
@article{Almasi2012,
title = {An update on the diagnosis and management of concussion},
author = {Almasi, Stephen J and Wilson, John J},
year = {2012},
date = {2012-01-01},
journal = {WMJ},
volume = {111},
pages = {21--7; quiz 28},
address = {University of Wisconsin School of Medicine and Public Health, Department of Family Medicine, 1100 Delaplaine Court, Madison, WI 53715 84, USA.},
abstract = {Concussion is a common medical problem with significant morbidity and sometimes devastating consequences. Awareness of this injury has increased dramatically in recent years, and our understanding of its pathophysiology and treatment is rapidly evolving. This article reviews the current concepts of concussion pathophysiology and epidemiology, and will provide an overview of proper diagnosis and management. Complications and risk reduction also will be reviewed. By understanding the essentials of concussion medicine, health care professionals will be equipped to manage this injury, including common complications.},
keywords = {Overviews},
pubstate = {published},
tppubtype = {article}
}
Mott, T F; McConnon, M L; Rieger, B P
Subacute to chronic mild traumatic brain injury Journal Article
In: American Family Physician, vol. 86, pp. 1045–1051, 2012, ISSN: 1532-0650 (Electronic) 0002-838X (Linking).
Abstract | BibTeX | Tags: Overviews
@article{Mott2012,
title = {Subacute to chronic mild traumatic brain injury},
author = {Mott, T F and McConnon, M L and Rieger, B P},
issn = {1532-0650 (Electronic) 0002-838X (Linking)},
year = {2012},
date = {2012-01-01},
journal = {American Family Physician},
volume = {86},
pages = {1045--1051},
address = {Naval Hospital Pensacola, Pensacola , FL, USA.},
edition = {2012/12/04},
abstract = {Although a universally accepted definition is lacking, mild traumatic brain injury and concussion are classified by transient loss of consciousness, amnesia, altered mental status, a Glasgow Coma Score of 13 to 15, and focal neurologic deficits following an acute closed head injury. Most patients recover quickly, with a predictable clinical course of recovery within the first one to two weeks following traumatic brain injury. Persistent physical, cognitive, or behavioral postconcussive symptoms may be noted in 5 to 20 percent of persons who have mild traumatic brain injury. Physical symptoms include headaches, dizziness, and nausea, and changes in coordination, balance, appetite, sleep, vision, and hearing. Cognitive and behavioral symptoms include fatigue, anxiety, depression, and irritability, and problems with memory, concentration and decision making. Women, older adults, less educated persons, and those with a previous mental health diagnosis are more likely to have persistent symptoms. The diagnostic workup for subacute to chronic mild traumatic brain injury focuses on the history and physical examination, with continuing observation for the development of red flags such as the progression of physical, cognitive, and behavioral symptoms, seizure, progressive vomiting, and altered mental status. Early patient and family education should include information on diagnosis and prognosis, symptoms, and further injury prevention. Symptom-specific treatment, gradual return to activity, and multidisciplinary coordination of care lead to the best outcomes. Psychiatric and medical comorbidities, psychosocial issues, and legal or compensatory incentives should be explored in patients resistant to treatment.},
keywords = {Overviews},
pubstate = {published},
tppubtype = {article}
}
Ellenbogen, Richard G
Editorial: Sports and concussion Journal Article
In: Journal of Neurosurgery, vol. 117, pp. 1089–1091, 2012.
@article{Ellenbogen2012,
title = {Editorial: Sports and concussion},
author = {Ellenbogen, Richard G},
year = {2012},
date = {2012-01-01},
journal = {Journal of Neurosurgery},
volume = {117},
pages = {1089--1091},
address = {Department of Neurological Surgery, University of Washington, Seattle, Washington.},
keywords = {Overviews},
pubstate = {published},
tppubtype = {article}
}
Rivara, F P
Concussion Time to Start Paying Attention Journal Article
In: Archives of Pediatrics & Adolescent Medicine, vol. 166, pp. 666–667, 2012.
Links | BibTeX | Tags: Overviews
@article{Rivara2012,
title = {Concussion Time to Start Paying Attention},
author = {Rivara, F P},
doi = {10.1001/archpediatrics.2011.1602},
year = {2012},
date = {2012-01-01},
journal = {Archives of Pediatrics \& Adolescent Medicine},
volume = {166},
pages = {666--667},
keywords = {Overviews},
pubstate = {published},
tppubtype = {article}
}
Upshaw, Jana E; Gosserand, Jaime Kaye; Williams, Nolan; Edwards, Jonathan C
Sports-related concussions Journal Article
In: Pediatric Emergency Care, vol. 28, pp. 926–932, 2012.
Abstract | BibTeX | Tags: Overviews
@article{Upshaw2012,
title = {Sports-related concussions},
author = {Upshaw, Jana E and Gosserand, Jaime Kaye and Williams, Nolan and Edwards, Jonathan C},
year = {2012},
date = {2012-01-01},
journal = {Pediatric Emergency Care},
volume = {28},
pages = {926--932},
address = {Division of Pediatric Emergency Medicine, Department of Pediatrics, Medical University of South Carolina, Charleston, SC 29425, USA. upshawje@musc.edu},
abstract = {During the past decade, awareness of concussions has exploded as both the media and the medical literature have given more focus to this common problem. Concussions after recreational activities, especially athletics, are a frequent complaint in the emergency department. In the past few years, care of these patients has been simplified as grading systems and classifications have been abandoned. However, questions remain as to the best way to rehabilitate these patients to avoid long-term sequelae, especially in children and adolescents. The purpose of this review is to discuss the demographic characteristics, the pathophysiology, definition, clinical characteristics, and management of concussions in children and adolescents.},
keywords = {Overviews},
pubstate = {published},
tppubtype = {article}
}
Marshall, Cameron M
Sports-related concussion: A narrative review of the literature Journal Article
In: Journal of the Canadian Chiropractic Association, vol. 56, pp. 299–310, 2012.
Abstract | BibTeX | Tags: Overviews
@article{Marshall2012b,
title = {Sports-related concussion: A narrative review of the literature},
author = {Marshall, Cameron M},
year = {2012},
date = {2012-01-01},
journal = {Journal of the Canadian Chiropractic Association},
volume = {56},
pages = {299--310},
address = {Sport Sciences Resident, Department of Graduate Studies, Canadian Memorial Chiropractic College, 6100 Leslie St, Toronto ON, M2H 3J1, 416-482-2560, cmarshall@cmcc.ca.},
abstract = {Sports-related concussion has gained widespread interest and media attention in recent years due to the potential dangers and long-term consequences. Despite several international consensus statements there remains a great deal of uncertainty surrounding these injuries. This paper is a review of recent literature on the topic of concussion, consisting of: biomechanics, pathophysiology, diagnosis and sideline management.},
keywords = {Overviews},
pubstate = {published},
tppubtype = {article}
}
Scorza, Keith A; Raleigh, Meghan F; O'Connor, Francis G
Current concepts in concussion: evaluation and management Journal Article
In: American Family Physician, vol. 85, pp. 123–132, 2012.
Abstract | BibTeX | Tags: Overviews
@article{Scorza2012,
title = {Current concepts in concussion: evaluation and management},
author = {Scorza, Keith A and Raleigh, Meghan F and O'Connor, Francis G},
year = {2012},
date = {2012-01-01},
journal = {American Family Physician},
volume = {85},
pages = {123--132},
address = {Fort Belvoir Community Hospital, Fort Belvoir, VA, USA.},
abstract = {Concussion is a disturbance in brain function caused by direct or indirect force to the head. It is a functional rather than structural injury that results from shear stress to brain tissue caused by rotational or angular forces-direct impact to the head is not required. Initial evaluation involves eliminating cervical spine injury and serious traumatic brain injury. Headache is the most common symptom of concussion, although a variety of clinical domains (e.g., somatic, cognitive, affective) can be affected. Signs and symptoms are nonspecific; therefore, a temporal relationship between an appropriate mechanism of injury and symptoms must be determined. There are numerous assessment tools to aid diagnosis, including symptom checklists, neuropsychological tests, postural stability tests, and sideline assessment tools. These tools are also used to monitor recovery. Cognitive and physical rest are the cornerstones of initial management. There are no specific treatments for concussion; therefore, focus is on managing symptoms and return to play. Because concussion recovery is variable, rigid classification systems have mostly been abandoned in favor of an individualized approach. A graded return-to-play protocol can be implemented once a patient has recovered in all affected domains. Children, adolescents, and those with a history of concussions may require a longer recovery period. There is limited research on the management of concussions in children and adolescents, but concern for potential consequences of injury to the developing brain suggests that a more conservative approach to management is appropriate in these patients.},
keywords = {Overviews},
pubstate = {published},
tppubtype = {article}
}
Tasker, Robert C; Pomeroy, Scott L
Sport-related concussion: time to take notice Journal Article
In: Current Opinion in Pediatrics, vol. 24, pp. 687–688, 2012.
@article{Tasker2012,
title = {Sport-related concussion: time to take notice},
author = {Tasker, Robert C and Pomeroy, Scott L},
year = {2012},
date = {2012-01-01},
journal = {Current Opinion in Pediatrics},
volume = {24},
pages = {687--688},
address = {Departments of Neurology and Anaesthesiology, Harvard Medical School and Boston Children's Hospital, Boston, Massachusetts, USA.},
keywords = {Overviews},
pubstate = {published},
tppubtype = {article}
}
Watts, Steve A
Sports-related concussion Journal Article
In: Journal of the Mississippi State Medical Association, vol. 52, pp. 106–109, 2011.
@article{Watts2011a,
title = {Sports-related concussion},
author = {Watts, Steve A},
year = {2011},
date = {2011-01-01},
journal = {Journal of the Mississippi State Medical Association},
volume = {52},
pages = {106--109},
address = {Department of Orthopedic Surgery and Rehabilitation, University of Mississippi Medical Center, Jackson 39126, USA. 39216, USA. sawatts@umc.edu},
keywords = {Overviews},
pubstate = {published},
tppubtype = {article}
}
Miller, Mark D
Concussion in sports. Foreword Journal Article
In: Clinics in Sports Medicine, vol. 30, pp. xv, 2011.
@article{Miller2011,
title = {Concussion in sports. Foreword},
author = {Miller, Mark D},
year = {2011},
date = {2011-01-01},
journal = {Clinics in Sports Medicine},
volume = {30},
pages = {xv},
address = {Department of Orthopaedic Surgery, University of Virginia, 400 Ray C. Hunt Drive, Suite 330, Charlottesville, VA 22908-0159, USA. mdm3p@virginia.edu},
keywords = {Overviews},
pubstate = {published},
tppubtype = {article}
}
Ferrari, Robert
Whiplash and Minor Head Injury: The Problem is Finding the Problem Journal Article
In: Headache, vol. 51, pp. 163–165, 2011, ISSN: 1526-4610.
Links | BibTeX | Tags: Overviews
@article{Ferrari2011,
title = {Whiplash and Minor Head Injury: The Problem is Finding the Problem},
author = {Ferrari, Robert},
doi = {10.1111/j.1526-4610.2010.01748.x},
issn = {1526-4610},
year = {2011},
date = {2011-01-01},
journal = {Headache},
volume = {51},
pages = {163--165},
keywords = {Overviews},
pubstate = {published},
tppubtype = {article}
}
Kimbler, Donald E; Murphy, Marguerite; Dhandapani, Krishnan M
Concussion and the adolescent athlete Journal Article
In: Journal of Neuroscience Nursing, vol. 43, pp. 286–290, 2011.
Abstract | BibTeX | Tags: Overviews
@article{Kimbler2011,
title = {Concussion and the adolescent athlete},
author = {Kimbler, Donald E and Murphy, Marguerite and Dhandapani, Krishnan M},
year = {2011},
date = {2011-01-01},
journal = {Journal of Neuroscience Nursing},
volume = {43},
pages = {286--290},
address = {Questions or comments about this article may be directed to Donald E. Kimbler, MSN CRNA, at dkimbler@georgiahealth.edu. He is a graduate student in the Department of Neurosurgery, Georgia Health Sciences University, Augusta, GA. Marguerite Murphy, DNP, is},
abstract = {ABSTRACT: Traumatic brain injury (TBI) is a complex and debilitating neurological injury that places a significant financial and emotional burden on both families and medical providers. Accumulating evidence suggests that mild TBI or concussion remains grossly underdiagnosed, as compared with more severe TBI, due to a poor understanding of the clinical signs and symptoms involved with a head injury. Notably, pediatric head injury may be associated with the subsequent development of serious, long-term neurological consequences, emphasizing the need for improved diagnosis and acute medical intervention. The purpose of this minireview is to summarize the association between participation in youth athletics and the occurrence of concussions, a primary source of mild TBI in the adolescent population, with the goal of increasing awareness within the nursing profession for this clinically important yet underdiagnosed form of brain injury.},
keywords = {Overviews},
pubstate = {published},
tppubtype = {article}
}
Nierengarten, Mary Beth
Neurologists weigh in on sports-related concussions Journal Article
In: Lancet Neurology, vol. 10, pp. 302–303, 2011.
@article{Nierengarten2011,
title = {Neurologists weigh in on sports-related concussions},
author = {Nierengarten, Mary Beth},
year = {2011},
date = {2011-01-01},
journal = {Lancet Neurology},
volume = {10},
pages = {302--303},
keywords = {Overviews},
pubstate = {published},
tppubtype = {article}
}
Sojka, Peter
"Sport" and "non-sport" concussions Journal Article
In: CMAJ Canadian Medical Association Journal, vol. 183, pp. 887–888, 2011.
@article{Sojka2011,
title = {"Sport" and "non-sport" concussions},
author = {Sojka, Peter},
year = {2011},
date = {2011-01-01},
journal = {CMAJ Canadian Medical Association Journal},
volume = {183},
pages = {887--888},
address = {Department of Health Sciences, Mid Sweden University, Ostersund, Sweden. peter.sojka@clinphys.umu.se},
keywords = {Overviews},
pubstate = {published},
tppubtype = {article}
}
Hamilton, N A; Keller, M S
Mild traumatic brain injury in children Journal Article
In: Seminars in Pediatric Surgery, vol. 19, pp. 271–278, 2010, ISSN: 1055-8586.
Abstract | Links | BibTeX | Tags: Overviews
@article{Hamilton2010,
title = {Mild traumatic brain injury in children},
author = {Hamilton, N A and Keller, M S},
doi = {10.1053/j.sempedsurg.2010.06.005},
issn = {1055-8586},
year = {2010},
date = {2010-01-01},
journal = {Seminars in Pediatric Surgery},
volume = {19},
pages = {271--278},
abstract = {Head injury occurs frequently in childhood and results in approximately 500,000 emergency department visits and over $1 billion in costs annually. Nearly 75% of these children are ultimately diagnosed with mild traumatic brain injury (MTBI), a misnomer because many will have radiographically identified intracranial injuries and long-term consequences. Identification of the brain at risk and prevention of secondary injury is associated with the largest reduction in head trauma morbidity and mortality. This article reviews the current literature to discuss the initial evaluation, management, and long-term outcomes in children sustaining MTBI.},
keywords = {Overviews},
pubstate = {published},
tppubtype = {article}
}
Ferullo, Shawn M; Green, Alysia
Update on concussion: here's what the experts say Journal Article
In: Journal of Family Practice, vol. 59, pp. 428–433, 2010.
Abstract | BibTeX | Tags: Overviews
@article{Ferullo2010,
title = {Update on concussion: here's what the experts say},
author = {Ferullo, Shawn M and Green, Alysia},
year = {2010},
date = {2010-01-01},
journal = {Journal of Family Practice},
volume = {59},
pages = {428--433},
address = {Department of Family Medicine, Boston Medical Center, Boston, MA, USA. Shawn.ferullo@bmc.org},
abstract = {Don't allow an athlete who has symptoms at rest or with exertion to return to play. Consider neuropsychological testing in conjunction with continued clinical assessment for objective measurements to assist in managing concussion. Recommend up-to-date protective equipment for athletes. Recent improvements, especially in football, have been shown to help decrease the incidence of concussion.},
keywords = {Overviews},
pubstate = {published},
tppubtype = {article}
}
Dvorak, J; McCrory, P; Aubry, M; Molloy, M; Engebretsen, L
Concussion sans frontieres Journal Article
In: British Journal of Sports Medicine, vol. 43 Suppl 1, pp. i1–2, 2009.
@article{Dvorak2009,
title = {Concussion sans frontieres},
author = {Dvorak, J and McCrory, P and Aubry, M and Molloy, M and Engebretsen, L},
year = {2009},
date = {2009-01-01},
journal = {British Journal of Sports Medicine},
volume = {43 Suppl 1},
pages = {i1--2},
keywords = {Overviews},
pubstate = {published},
tppubtype = {article}
}
Tator, Charles
Concussions are brain injuries and should be taken seriously Journal Article
In: Canadian Journal of Neurological Sciences, vol. 36, pp. 269–270, 2009.
@article{Tator2009,
title = {Concussions are brain injuries and should be taken seriously},
author = {Tator, Charles},
year = {2009},
date = {2009-01-01},
journal = {Canadian Journal of Neurological Sciences},
volume = {36},
pages = {269--270},
keywords = {Overviews},
pubstate = {published},
tppubtype = {article}
}
Davis, G; Marion, D; George, B; Hamel, O; Turner, M; McCrory, P
Clinics in neurology and neurosurgery of sport: traumatic cerebral contusion Journal Article
In: British Journal of Sports Medicine, vol. 43, pp. 451–454, 2009.
Links | BibTeX | Tags: Overviews
@article{Davis2009,
title = {Clinics in neurology and neurosurgery of sport: traumatic cerebral contusion},
author = {Davis, G and Marion, D and George, B and Hamel, O and Turner, M and McCrory, P},
doi = {10.1136/bjsm.2008.048256},
year = {2009},
date = {2009-01-01},
journal = {British Journal of Sports Medicine},
volume = {43},
pages = {451--454},
keywords = {Overviews},
pubstate = {published},
tppubtype = {article}
}
McCrory, P; Meeuwisse, W; Johnston, K; Dvorak, J; Aubry, M; Molloy, M; Cantu, R
Consensus statement on Concussion in Sport--the 3rd International Conference on Concussion in Sport held in Zurich, November 2008 Journal Article
In: Journal of Science & Medicine in Sport, vol. 12, pp. 340–351, 2009.
@article{McCrory2009c,
title = {Consensus statement on Concussion in Sport--the 3rd International Conference on Concussion in Sport held in Zurich, November 2008},
author = {McCrory, P and Meeuwisse, W and Johnston, K and Dvorak, J and Aubry, M and Molloy, M and Cantu, R},
year = {2009},
date = {2009-01-01},
journal = {Journal of Science \& Medicine in Sport},
volume = {12},
pages = {340--351},
address = {Centre for Health, Exercise \& Sports Medicine, University of Melbourne, Australia. paulmccr@bigpond.net.au},
keywords = {Overviews},
pubstate = {published},
tppubtype = {article}
}
Davis, Gavin A
Concussion in sport Journal Article
In: Journal of Clinical Neuroscience, vol. 16, pp. 731–732, 2009, ISSN: 0967-5868.
@article{Davis2009a,
title = {Concussion in sport},
author = {Davis, Gavin A},
issn = {0967-5868},
year = {2009},
date = {2009-01-01},
journal = {Journal of Clinical Neuroscience},
volume = {16},
pages = {731--732},
keywords = {Overviews},
pubstate = {published},
tppubtype = {article}
}
Denke, Nancy J
Brain injury in sports Journal Article
In: Journal of Emergency Nursing, vol. 34, pp. 363–364, 2008.
@article{Denke2008,
title = {Brain injury in sports},
author = {Denke, Nancy J},
year = {2008},
date = {2008-01-01},
journal = {Journal of Emergency Nursing},
volume = {34},
pages = {363--364},
address = {Scottsdale Healthcare Osborn-Trauma Department, 12641 N 113th Way, Scottsdale, AZ 85259, USA. ndenke@shc.org},
keywords = {Overviews},
pubstate = {published},
tppubtype = {article}
}
Katz, D I; Cohen, S I; Alexander, M P
Mild traumatic brain injury Journal Article
In: Handbook of Clinical Neurology, vol. 127, pp. 131–156, 2015.
@article{Katz2015,
title = {Mild traumatic brain injury},
author = {Katz, D I and Cohen, S I and Alexander, M P},
year = {2015},
date = {2015-01-01},
journal = {Handbook of Clinical Neurology},
volume = {127},
pages = {131--156},
address = {Katz,Douglas I. Department of Neurology, Boston University School of Medicine, Boston, MA, USA; Acquired Brain Injury Program, Braintree Rehabilitation Hospital, Braintree, MA, USA. Electronic address: dkatz@bu.edu. Cohen,Sara I. Acquired Brain Injury Pro},
abstract = {Mild traumatic brain injury (TBI) is common but accurate diagnosis and defining criteria for mild TBI and its clinical consequences have been problematic. Mild TBI causes transient neurophysiologic brain dysfunction, sometimes with structural axonal and neuronal damage. Biomarkers, such as newer imaging technologies and protein markers, are promising indicators of brain injury but are not ready for clinical use. Diagnosis relies on clinical criteria regarding depth and duration of impaired consciousness and amnesia. These criteria are particularly difficult to confirm at the least severe end of the mild TBI continuum, especially when relying on subjective, retrospective accounts. The postconcussive syndrome is a controversial concept because of varying criteria, inconsistent symptom clusters and the evidence that similar symptom profiles occur with other disorders, and even in a proportion of healthy individuals. The clinical consequences of mild TBI can be conceptualized as two multidimensional disorders: (1) a constellation of acute symptoms that might be termed early phase post-traumatic disorder (e.g., headache, dizziness, imbalance, fatigue, sleep disruption, impaired cognition), that typically resolve in days to weeks and are largely related to brain trauma and concomitant injuries; (2) a later set of symptoms, a late phase post-traumatic disorder, evolving out of the early phase in a minority of patients, with a more prolonged (months to years), sometimes worsening set of somatic, emotional, and cognitive symptoms. The later phase disorder is highly influenced by a variety of psychosocial factors and has little specificity for brain injury, although a history of multiple concussions seems to increase the risk of more severe and longer duration symptoms. Effective early phase management may prevent or limit the later phase disorder and should include education about symptoms and expectations for recovery, as well as recommendations for activity modifications. Later phase treatment should be informed by thoughtful differential diagnosis and the multiplicity of premorbid and comorbid conditions that may influence symptoms. Treatment should incorporate a hierarchical, sequential approach to symptom management, prioritizing problems with significant functional impact and effective, available interventions (e.g., headache, depression, anxiety, insomnia, vertigo).},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Marshall, S; Bayley, M; McCullagh, S; Velikonja, D; Berrigan, L; Ouchterlony, D; Weegar, K
Updated clinical practice guidelines for concussion/mild traumatic brain injury and persistent symptoms Journal Article
In: Brain Injury, vol. 29, pp. 688–700, 2015.
@article{Marshall2015,
title = {Updated clinical practice guidelines for concussion/mild traumatic brain injury and persistent symptoms},
author = {Marshall, S and Bayley, M and McCullagh, S and Velikonja, D and Berrigan, L and Ouchterlony, D and Weegar, K},
year = {2015},
date = {2015-01-01},
journal = {Brain Injury},
volume = {29},
pages = {688--700},
address = {Marshall,Shawn. Ottawa Hospital Research Institute , Ottawa, ON , Canada .},
abstract = {OBJECTIVE: To introduce a set of revised guidelines for the management of mild traumatic brain injury (mTBI) and persistent symptoms following concussive injuries. QUALITY OF EVIDENCE: The Guidelines for Mild Traumatic Brain Injury and Persistent Symptoms were made available in March 2011 based on literature and information up to 2008. A search for new clinical practice guidelines addressing mTBI and a systematic review of the literature evaluating treatment of persistent symptoms was conducted. Healthcare professionals representing a range of disciplines from Canada and abroad attended a consensus conference to revise the original guidelines in light of new evidence. MAIN MESSAGE: A modified Delphi process was used to create 96 recommendations addressing the diagnosis and management of mTBI and persistent symptoms, including post-traumatic headache, sleep disturbances, mental health disorders, cognitive difficulties, vestibular and vision dysfunction, fatigue and return to activity/work/school. Numerous resources, tools and treatment algorithms were also included to aid implementation of the recommendations. CONCLUSION: The revised clinical practice guideline reflects the most current evidence and is recommended for use by clinicians who provide care to people who experience PPCS following mTBI.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Kushner, D S
Strategies to avoid a missed diagnosis of co-occurring concussion in post-acute patients having a spinal cord injury Journal Article
In: Neural Regeneration Research, vol. 10, pp. 859–861, 2015.
@article{Kushner2015,
title = {Strategies to avoid a missed diagnosis of co-occurring concussion in post-acute patients having a spinal cord injury},
author = {Kushner, D S},
year = {2015},
date = {2015-01-01},
journal = {Neural Regeneration Research},
volume = {10},
pages = {859--861},
address = {Kushner,David S. Department of Physical Medicine \& Rehabilitation, University of Miami Miller School of Medicine, Miami, FL, USA.},
abstract = {Research scientists and clinicians should be aware that missed diagnoses of mild-moderate traumatic brain injuries in post-acute patients having spinal cord injuries may approach 60-74% with certain risk factors, potentially causing clinical consequences for patients, and confounding the results of clinical research studies. Factors leading to a missed diagnosis may include acute trauma-related life-threatening issues, sedation/intubation, subtle neuropathology on neuroimaging, failure to collect Glasgow Coma Scale scores or duration of posttraumatic amnesia, or lack of validity of this information, and overlap in neuro-cognitive symptoms with emotional responses to spinal cord injuries. Strategies for avoiding a missed diagnosis of mild-moderate traumatic brain injuries in patients having a spinal cord injuries are highlighted in this perspective.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Laker, S R
Sports-Related Concussion Journal Article
In: Current Pain & Headache Reports, vol. 19, pp. 510, 2015.
@article{Laker2015,
title = {Sports-Related Concussion},
author = {Laker, S R},
year = {2015},
date = {2015-01-01},
journal = {Current Pain \& Headache Reports},
volume = {19},
pages = {510},
address = {Laker,Scott R. Department of Physical Medicine and Rehabilitation, University of Colorado School of Medicine, Mail Stop F493, 12631 East 17th Avenue, Aurora, CO, 80045, USA, scott.laker@ucdenver.edu.},
abstract = {Sports-related concussions (SRC) are common in all ages and occur in all sports. The diagnosis based on clinical suspicion after more serious injury is ruled out. Symptoms of concussion are due to a temporary and reversible neurometabolic cascade resulting in blood flow changes, neuronal excitotoxicity, ionic shifts, and mitochondrial changes. Symptoms are nonspecific, and commonly include headache, cognitive complaints, photophobia, and phonophobia. Loss of consciousness is rare in SRC and has limited influence on recovery and prognosis. Imaging has a limited role in the management of concussion and should be used to evaluate for more serious intracranial pathology. Treatment is based on symptoms and an understanding of the typical, rapid (7-10 days) recovery. No athlete should return to play until their symptoms have resolved and they have completed a supervised, step-wise return to play protocol. The article covers the most recent literature on the diagnosis and management of SRC, including evidence-based recommendations and expert-based consensus opinion. The article will also discuss issues regarding medical retirement, legislation, and future concepts in concussion diagnosis and management.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Piazza, S
Why is it so hard to stop sports concussions? Journal Article
In: American Scientist, vol. 102, pp. 346–349, 2014.
@article{Piazza2014,
title = {Why is it so hard to stop sports concussions?},
author = {Piazza, S},
doi = {10.1511/2014.110.346},
year = {2014},
date = {2014-01-01},
journal = {American Scientist},
volume = {102},
pages = {346--349},
abstract = {Human behavior conspires with the complex mechanics of head impacts to keep injury rates high. Recent research shows why so many sports injuries keep occurring and points to some possible solutions. Protecting the brain from concussion and chronic traumatic encephalopathy requires more than just increasing the amount of helmet padding. It necessitates an understanding of how brain injury differs from the cracking of an egg dropped on the floor, and how helmets influence the behavior of those who wear them. The threads connecting the egg to the lid of the jar twist around one another and either break or tear away a piece of the egg's shell. Making things more confusing, researchers have not yet been able to identify a single factor that determines the threshold for concussion. The proposed multi-factorial measure was more predictive of concussion than guessing, suggesting that the causes of concussion are complex and cannot be identified by a single biomechanical variable.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Broglio, S P; Cantu, R C; Gioia, G A; Guskiewicz, K M; Kutcher, J; Palm, M; Valovich McLeod, T C
National Athletic Trainers' Association position statement: management of sport concussion Journal Article
In: Journal of Athletic Training, vol. 49, pp. 245–265, 2014.
@article{Broglio2014,
title = {National Athletic Trainers' Association position statement: management of sport concussion},
author = {Broglio, S P and Cantu, R C and Gioia, G A and Guskiewicz, K M and Kutcher, J and Palm, M and {Valovich McLeod}, T C},
year = {2014},
date = {2014-01-01},
journal = {Journal of Athletic Training},
volume = {49},
pages = {245--265},
address = {University of Michigan, Ann Arbor.},
abstract = {OBJECTIVE: To provide athletic trainers, physicians, and other health care professionals with best-practice guidelines for the management of sport-related concussions. BACKGROUND: An estimated 3.8 million concussions occur each year in the United States as a result of sport and physical activity. Athletic trainers are commonly the first medical providers available onsite to identify and evaluate these injuries. RECOMMENDATIONS: The recommendations for concussion management provided here are based on the most current research and divided into sections on education and prevention, documentation and legal aspects, evaluation and return to play, and other considerations.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Patricios, J S; Makdissi, M
The sports concussion picture: fewer 'pixels', more HD Journal Article
In: British Journal of Sports Medicine, vol. 48, pp. 71–72, 2014.
@article{Patricios2014c,
title = {The sports concussion picture: fewer 'pixels', more HD},
author = {Patricios, J S and Makdissi, M},
year = {2014},
date = {2014-01-01},
journal = {British Journal of Sports Medicine},
volume = {48},
pages = {71--72},
address = {Section of Sports Medicine, Faculty of Health Sciences, University of Pretoria, , Pretoria, Johannesburg, South Africa.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Kutcher, J S; Giza, C C
Sports concussion diagnosis and management Journal Article
In: CONTINUUM: Lifelong Learning in Neurology, vol. 20, pp. 1552–1569, 2014.
@article{Kutcher2014a,
title = {Sports concussion diagnosis and management},
author = {Kutcher, J S and Giza, C C},
year = {2014},
date = {2014-01-01},
journal = {CONTINUUM: Lifelong Learning in Neurology},
volume = {20},
pages = {1552--1569},
abstract = {PURPOSE OF REVIEW: To provide the neurologist with a framework for the clinical approach to sports concussion diagnosis and management. RECENT FINDINGS: As the issue of brain injury in athletes has emerged and developed, shifting the landscape of public concern, neurologists have become more directly involved in the diagnosis and management of sports concussion. Neurologists are now playing an increased role in acute concussion diagnosis, early injury management, return-to-play decisions, and evaluation for potential long-term effects from exposure to biomechanical forces on brain health. Concussion is only one part of this spectrum, but it is no small concern. Sports concussion diagnosis and management require a comprehensive neurologic approach as the return-to-play decision is a medical one covering a spectrum of potential complications and future risks. Understanding the clinical syndrome of concussion as well as the underlying pathophysiologic mechanism is essential to providing care. Employing classic neurologic diagnostic techniques while concurrently respecting the unique nature of caring for athletes is also critical. Without an objective method of measuring the underlying metabolic injury, concussion management is, by necessity, a clinically intense endeavor that requires a broad skill set. SUMMARY: Providing recommendations regarding the long-term effects of brain trauma and the need for retirement from contact sports requires an appreciation for both the reason for concern and the lack of data to frame this risk. As science continues to advance in this area, so will our diagnostic approaches and management schema. Neurologists caring for athletes with brain trauma should continue to seek the best possible evidence to help shape their clinical decisions.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Slobounov, S; Bazarian, J; Bigler, E; Cantu, R; Hallett, M; Harbaugh, R; Hovda, D; Mayer, A R; Nuwer, M R; Kou, Z; Lazzarino, G; Papa, L; Vagnozzi, R
Sports-related concussion: ongoing debate Journal Article
In: British Journal of Sports Medicine, vol. 48, pp. 75–76, 2014.
@article{Slobounov2014a,
title = {Sports-related concussion: ongoing debate},
author = {Slobounov, S and Bazarian, J and Bigler, E and Cantu, R and Hallett, M and Harbaugh, R and Hovda, D and Mayer, A R and Nuwer, M R and Kou, Z and Lazzarino, G and Papa, L and Vagnozzi, R},
year = {2014},
date = {2014-01-01},
journal = {British Journal of Sports Medicine},
volume = {48},
pages = {75--76},
address = {Department of Kinesiology and Neurosurgery, Penn State Center for Sports Concussion, The Pennsylvania State University, Penn State Hershey Medical Center, , University Park, Pennsylvania, USA.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Tucker, A M
Update on sports concussion Journal Article
In: Current Reviews in Musculoskeletal Medicine, vol. 7, pp. 366–372, 2014.
@article{Tucker2014,
title = {Update on sports concussion},
author = {Tucker, A M},
year = {2014},
date = {2014-01-01},
journal = {Current Reviews in Musculoskeletal Medicine},
volume = {7},
pages = {366--372},
address = {Tucker,Andrew M. Medstar Union Memorial Sports Medicine, 1407 York Road, Suite 100A, Lutherville, MD, 21093, USA, Andrew.Tucker@medstar.net.},
abstract = {Over the past 20 years, sports concussion has become one of the most researched topics in sports medicine. Significant resources have been allocated to the study of this issue, with a dramatic increase in information concerning most aspects of this common sports injury. In light of this considerable increase in research, this review is offered to provide clinicians involved in the care of athletes a summary of key features of the evaluation and management of sports concussion with attention to recent contributions to the literature.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Maroon, J C; Mathyssek, C; Bost, J
Cerebral concussion: a historical perspective Journal Article
In: Progress in Neurological Surgery, vol. 28, pp. 1–13, 2014.
@article{Maroon2014,
title = {Cerebral concussion: a historical perspective},
author = {Maroon, J C and Mathyssek, C and Bost, J},
year = {2014},
date = {2014-01-01},
journal = {Progress in Neurological Surgery},
volume = {28},
pages = {1--13},
address = {Department of Neurosurgery, University of Pittsburgh Medical Center, Pittsburgh, Pa., USA.},
abstract = {No topic in sports has gathered more attention and publicity than the diagnosis, management, and long-term effects of cerebral concussion. The relevant history of concussion starts in 1905 when President Theodore Roosevelt drew attention to the football 'death harvest'. Soon after, rules started to change to reduce the amount and severity of head injuries in football. Up until 1980, the primary focus regarding concussions was to diagnose a potentially fatal intracranial hemorrhage. While aware of long-term consequences of concussions, the perception at the time was that virtually all concussions would 'clear' with time and rest. Concussion management guidelines gave way to objective neuropsychological testing in the early 1990s with the development of the ImPACT (Immediate Post-Concussion Assessment and Cognitive Testing) neurocognitive test. Led by organized football, in 1994 the National Football League (NFL) formed the Mild Traumatic Brain Injury Committee which began to investigate the cause of concussions, evaluate equipment (particularly helmets), and recommend methods for prevention. In 2005, the first case of chronic traumatic encephalopathy was described in a deceased football player, raising concerns about the long-term consequences of head injuries and concussions. Major advancements in contact sports and the military are underway to reduce the incidence of concussions and subconcussive blows to the head. 2014 S. Karger AG, Basel.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Baldea, J D
In response to: time to re-think the Zurich Guidelines? A critique on the consensus statement on concussion in Sport: the 4th International Conference on Concussion in Sport, held in Zurich, November 2012 Journal Article
In: Clinical Journal of Sport Medicine, vol. 24, pp. 521–522, 2014.
@article{Baldea2014,
title = {In response to: time to re-think the Zurich Guidelines? A critique on the consensus statement on concussion in Sport\: the 4th International Conference on Concussion in Sport, held in Zurich, November 2012},
author = {Baldea, J D},
year = {2014},
date = {2014-01-01},
journal = {Clinical Journal of Sport Medicine},
volume = {24},
pages = {521--522},
address = {Baldea,John D. Director, Primary Care Sports Medicine Fellowship Department of Family Medicine, Indiana University School of Medicine, Indianapolis, Indiana.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Sharma, B; Lawrence, D W
Top-cited articles in traumatic brain injury Journal Article
In: Frontiers in Human Neuroscience, vol. 8, pp. 879, 2014.
@article{Sharma2014a,
title = {Top-cited articles in traumatic brain injury},
author = {Sharma, B and Lawrence, D W},
year = {2014},
date = {2014-01-01},
journal = {Frontiers in Human Neuroscience},
volume = {8},
pages = {879},
address = {Sharma,Bhanu. Toronto Rehabilitation Institute, University of Toronto , Toronto, ON , Canada. Lawrence,David Wyndham. Department of Family and Community Medicine, St. Michael's Hospital, University of Toronto , Toronto, ON , Canada.},
abstract = {A review of the top-cited articles in a scientific discipline can identify areas of research that are well established and those in need of further development, and may, as a result, inform and direct future research efforts. Our objective was to identify and characterize the top-cited articles in traumatic brain injury (TBI). We used publically available software to identify the 50 TBI articles with the most lifetime citations, and the 50 TBI articles with the highest annual citation rates. A total of 73 articles were included in this review, with 27 of the 50 papers with the highest annual citation rates common to the cohort of 50 articles with the most lifetime citations. All papers were categorized by their primary topic or focus, namely: predictor of outcome, pathology/natural history, treatment, guidelines and consensus statements, epidemiology, assessment measures, or experimental model of TBI. The mean year of publication of the articles with the most lifetime citations and highest annual citation rates was 1990+/-14.9years and 2003+/-6.7years, respectively. The 50 articles with the most lifetime citations typically studied predictors of outcome (34.0%, 17/50) and were specific to severe TBI (38.0%, 19/50). In contrast, the most common subject of papers with the highest annual citation rates was treatment of brain injury (22.0%, 11/50), and these papers most frequently investigated mild TBI (36.0%, 18/50). These findings suggest an intensified focus on mild TBI, which is perhaps a response to the dedicated attention these injuries are currently receiving in the context of sports and war, and because of their increasing incidence in developing nations. Our findings also indicate increased focus on treatment of TBI, possibly due to the limited efficacy of current interventions for brain injury. This review provides a cross-sectional summary of some of the most influential articles in TBI, and a bibliometric examination of the current status of TBI research.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Giza, C C; Kutcher, J S
An introduction to sports concussions Journal Article
In: CONTINUUM: Lifelong Learning in Neurology, vol. 20, pp. 1545–1551, 2014.
@article{Giza2014,
title = {An introduction to sports concussions},
author = {Giza, C C and Kutcher, J S},
year = {2014},
date = {2014-01-01},
journal = {CONTINUUM: Lifelong Learning in Neurology},
volume = {20},
pages = {1545--1551},
abstract = {PURPOSE OF REVIEW: Concussions are a major public health issue, and particularly so in the setting of sports. Millions of athletes of all ages may face the risks of concussion and repeat concussion. This article introduces the terminology, epidemiology, and underlying pathophysiology associated with concussion, focused on sports-related injuries. RECENT FINDINGS: Concussion is a clinical syndrome of symptoms and signs occurring after biomechanical force is imparted to the brain. Because of the subjective nature of symptom reporting, definitions of concussion differ slightly in different guidelines. Concussion nomenclature also includes mild traumatic brain injury, postconcussion symptoms, postconcussion syndrome, chronic neurocognitive impairment, subconcussive injury, and chronic traumatic encephalopathy. Between 1.6 and 3.8 million sports-related concussions are estimated in the United States annually, particularly in youth athletes. Rates of concussion are higher in sports such as football, rugby, ice hockey, and wrestling in males, and soccer and basketball in females. The underlying pathophysiology of concussion centers on membrane leakage, ionic flux, indiscriminate glutamate release, and energy crisis. These initial events then trigger ongoing metabolic impairment, vulnerability to second injury, altered neural activation, and axonal dysfunction. While the linkage between acute neurobiology and chronic deficits remains to be elucidated, activation of cell death pathways, ongoing inflammation, persistent metabolic problems, and accumulation of abnormal or toxic proteins have all been implicated. SUMMARY: Concussion is a biomechanically induced syndrome of neural dysfunction. Millions of concussions occur annually, many of them related to sports. Biologically, a complex sequence of events occurs from initial ionic flux, glutamate release, and axonal damage, resulting in vulnerability to second injury and possibly to longer-term neurodegeneration.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Holt, G R
Sports concussions and traumatic brain injury Journal Article
In: Southern Medical Journal, vol. 107, pp. 114, 2014.
@article{Holt2014,
title = {Sports concussions and traumatic brain injury},
author = {Holt, G R},
year = {2014},
date = {2014-01-01},
journal = {Southern Medical Journal},
volume = {107},
pages = {114},
address = {From the Department of Otolaryngology-Head and Neck Surgery, University of Texas Health Science Center, San Antonio.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Miles, C M
Concussion management: The current landscape Journal Article
In: JAAPA, vol. 27, pp. 8–9, 2014.
@article{Miles2014,
title = {Concussion management: The current landscape},
author = {Miles, C M},
year = {2014},
date = {2014-01-01},
journal = {JAAPA},
volume = {27},
pages = {8--9},
address = {Christopher M. Miles is an assistant professor in the Department of Family and Community Medicine and assistant program director of the Primary Care Sports Medicine Fellowship at Wake Forest School of Medicine in Winston-Salem, N.C. The author has indicat},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Master, C L; Balcer, L; Collins, M
Concussion Journal Article
In: Annals of Internal Medicine, vol. 160, no. 3, pp. ITC2–1, 2014.
@article{Master2014,
title = {Concussion},
author = {Master, C L and Balcer, L and Collins, M},
year = {2014},
date = {2014-01-01},
journal = {Annals of Internal Medicine},
volume = {160},
number = {3},
pages = {ITC2--1},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Neselius, S; Brisby, H
Sport-related concussions: time to diversify care and recommendation advice Journal Article
In: Knee Surgery, Sports Traumatology, Arthroscopy, vol. 22, pp. 233–234, 2014.
@article{Neselius2014b,
title = {Sport-related concussions: time to diversify care and recommendation advice},
author = {Neselius, S and Brisby, H},
year = {2014},
date = {2014-01-01},
journal = {Knee Surgery, Sports Traumatology, Arthroscopy},
volume = {22},
pages = {233--234},
address = {Department of Orthopaedics, Sahlgrenska University Hospital, 413 45, Goteborg, Sweden, sanna.neselius@vgregion.se.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Fremont, P
In response to: time to re-think the Zurich Guidelines? A critique on the consensus statement on Concussion in Sport: the 4th International Conference on Concussion in Sport, held in Zurich, November 2012 Journal Article
In: Clinical Journal of Sport Medicine, vol. 24, pp. 520–521, 2014.
@article{Fremont2014,
title = {In response to: time to re-think the Zurich Guidelines? A critique on the consensus statement on Concussion in Sport\: the 4th International Conference on Concussion in Sport, held in Zurich, November 2012},
author = {Fremont, P},
year = {2014},
date = {2014-01-01},
journal = {Clinical Journal of Sport Medicine},
volume = {24},
pages = {520--521},
address = {Fremont,Pierre. Canadian Academy of Sport and Exercise Medicine, Quebec City, Quebec, Canada and Department of Rehabilitation, Faculty of Medicine, Laval University, Quebec City, Quebec, Canada.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
West, T A; Marion, D W
Current recommendations for the diagnosis and treatment of concussion in sport: a comparison of three new guidelines Journal Article
In: Journal of Neurotrauma, vol. 31, pp. 159–168, 2014.
@article{West2014,
title = {Current recommendations for the diagnosis and treatment of concussion in sport: a comparison of three new guidelines},
author = {West, T A and Marion, D W},
year = {2014},
date = {2014-01-01},
journal = {Journal of Neurotrauma},
volume = {31},
pages = {159--168},
address = {Defense and Veterans Brain Injury Center , Silver Spring, Maryland.},
abstract = {Abstract Currently, there is considerable debate within the sports medicine community about the role of concussion and the risk of chronic neurological sequelae. This concern has led to significant confusion among primary care providers and athletic trainers about how to best identify those athletes at risk and how to treat those with concussion. During the first quarter of 2013, several new or updated clinical practice guidelines and position statements were published on the diagnosis, treatment, and management of mild traumatic brain injury/concussion in sports. Three of these guidelines were produced by the American Medical Society for Sports Medicine, The American Academy of Neurology, and the Zurich Consensus working group. The goal of each group was to clearly define current best practices for the definition, diagnosis, and acute and post-acute management of sports-related concussion, including specific recommendations for return to play. In this article, we compare the recommendations of each of the three groups, and highlight those topics for which there is consensus regarding the definition of concussion, diagnosis, and acute care of athletes suspected of having a concussion, as well as return-to-play recommendations.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Marshall, S; Bayley, M; McCullagh, S; Velikonja, D; Berrigan, L; Ouchterlony, D; Weegar, K
Updated clinical practice guidelines for concussion/mild traumatic brain injury and persistent symptoms Journal Article
In: Brain Injury, vol. 29, pp. 688–700, 2015.
Abstract | BibTeX | Tags: Overviews
@article{Marshall2015,
title = {Updated clinical practice guidelines for concussion/mild traumatic brain injury and persistent symptoms},
author = {Marshall, S and Bayley, M and McCullagh, S and Velikonja, D and Berrigan, L and Ouchterlony, D and Weegar, K},
year = {2015},
date = {2015-01-01},
journal = {Brain Injury},
volume = {29},
pages = {688--700},
address = {Marshall,Shawn. Ottawa Hospital Research Institute , Ottawa, ON , Canada .},
abstract = {OBJECTIVE: To introduce a set of revised guidelines for the management of mild traumatic brain injury (mTBI) and persistent symptoms following concussive injuries. QUALITY OF EVIDENCE: The Guidelines for Mild Traumatic Brain Injury and Persistent Symptoms were made available in March 2011 based on literature and information up to 2008. A search for new clinical practice guidelines addressing mTBI and a systematic review of the literature evaluating treatment of persistent symptoms was conducted. Healthcare professionals representing a range of disciplines from Canada and abroad attended a consensus conference to revise the original guidelines in light of new evidence. MAIN MESSAGE: A modified Delphi process was used to create 96 recommendations addressing the diagnosis and management of mTBI and persistent symptoms, including post-traumatic headache, sleep disturbances, mental health disorders, cognitive difficulties, vestibular and vision dysfunction, fatigue and return to activity/work/school. Numerous resources, tools and treatment algorithms were also included to aid implementation of the recommendations. CONCLUSION: The revised clinical practice guideline reflects the most current evidence and is recommended for use by clinicians who provide care to people who experience PPCS following mTBI.},
keywords = {Overviews},
pubstate = {published},
tppubtype = {article}
}
Katz, D I; Cohen, S I; Alexander, M P
Mild traumatic brain injury Journal Article
In: Handbook of Clinical Neurology, vol. 127, pp. 131–156, 2015.
Abstract | BibTeX | Tags: Overviews
@article{Katz2015,
title = {Mild traumatic brain injury},
author = {Katz, D I and Cohen, S I and Alexander, M P},
year = {2015},
date = {2015-01-01},
journal = {Handbook of Clinical Neurology},
volume = {127},
pages = {131--156},
address = {Katz,Douglas I. Department of Neurology, Boston University School of Medicine, Boston, MA, USA; Acquired Brain Injury Program, Braintree Rehabilitation Hospital, Braintree, MA, USA. Electronic address: dkatz@bu.edu. Cohen,Sara I. Acquired Brain Injury Pro},
abstract = {Mild traumatic brain injury (TBI) is common but accurate diagnosis and defining criteria for mild TBI and its clinical consequences have been problematic. Mild TBI causes transient neurophysiologic brain dysfunction, sometimes with structural axonal and neuronal damage. Biomarkers, such as newer imaging technologies and protein markers, are promising indicators of brain injury but are not ready for clinical use. Diagnosis relies on clinical criteria regarding depth and duration of impaired consciousness and amnesia. These criteria are particularly difficult to confirm at the least severe end of the mild TBI continuum, especially when relying on subjective, retrospective accounts. The postconcussive syndrome is a controversial concept because of varying criteria, inconsistent symptom clusters and the evidence that similar symptom profiles occur with other disorders, and even in a proportion of healthy individuals. The clinical consequences of mild TBI can be conceptualized as two multidimensional disorders: (1) a constellation of acute symptoms that might be termed early phase post-traumatic disorder (e.g., headache, dizziness, imbalance, fatigue, sleep disruption, impaired cognition), that typically resolve in days to weeks and are largely related to brain trauma and concomitant injuries; (2) a later set of symptoms, a late phase post-traumatic disorder, evolving out of the early phase in a minority of patients, with a more prolonged (months to years), sometimes worsening set of somatic, emotional, and cognitive symptoms. The later phase disorder is highly influenced by a variety of psychosocial factors and has little specificity for brain injury, although a history of multiple concussions seems to increase the risk of more severe and longer duration symptoms. Effective early phase management may prevent or limit the later phase disorder and should include education about symptoms and expectations for recovery, as well as recommendations for activity modifications. Later phase treatment should be informed by thoughtful differential diagnosis and the multiplicity of premorbid and comorbid conditions that may influence symptoms. Treatment should incorporate a hierarchical, sequential approach to symptom management, prioritizing problems with significant functional impact and effective, available interventions (e.g., headache, depression, anxiety, insomnia, vertigo).},
keywords = {Overviews},
pubstate = {published},
tppubtype = {article}
}
Laker, S R
Sports-Related Concussion Journal Article
In: Current Pain & Headache Reports, vol. 19, pp. 510, 2015.
Abstract | BibTeX | Tags: Overviews
@article{Laker2015,
title = {Sports-Related Concussion},
author = {Laker, S R},
year = {2015},
date = {2015-01-01},
journal = {Current Pain \& Headache Reports},
volume = {19},
pages = {510},
address = {Laker,Scott R. Department of Physical Medicine and Rehabilitation, University of Colorado School of Medicine, Mail Stop F493, 12631 East 17th Avenue, Aurora, CO, 80045, USA, scott.laker@ucdenver.edu.},
abstract = {Sports-related concussions (SRC) are common in all ages and occur in all sports. The diagnosis based on clinical suspicion after more serious injury is ruled out. Symptoms of concussion are due to a temporary and reversible neurometabolic cascade resulting in blood flow changes, neuronal excitotoxicity, ionic shifts, and mitochondrial changes. Symptoms are nonspecific, and commonly include headache, cognitive complaints, photophobia, and phonophobia. Loss of consciousness is rare in SRC and has limited influence on recovery and prognosis. Imaging has a limited role in the management of concussion and should be used to evaluate for more serious intracranial pathology. Treatment is based on symptoms and an understanding of the typical, rapid (7-10 days) recovery. No athlete should return to play until their symptoms have resolved and they have completed a supervised, step-wise return to play protocol. The article covers the most recent literature on the diagnosis and management of SRC, including evidence-based recommendations and expert-based consensus opinion. The article will also discuss issues regarding medical retirement, legislation, and future concepts in concussion diagnosis and management.},
keywords = {Overviews},
pubstate = {published},
tppubtype = {article}
}
Kushner, D S
Strategies to avoid a missed diagnosis of co-occurring concussion in post-acute patients having a spinal cord injury Journal Article
In: Neural Regeneration Research, vol. 10, pp. 859–861, 2015.
Abstract | BibTeX | Tags: Overviews
@article{Kushner2015,
title = {Strategies to avoid a missed diagnosis of co-occurring concussion in post-acute patients having a spinal cord injury},
author = {Kushner, D S},
year = {2015},
date = {2015-01-01},
journal = {Neural Regeneration Research},
volume = {10},
pages = {859--861},
address = {Kushner,David S. Department of Physical Medicine \& Rehabilitation, University of Miami Miller School of Medicine, Miami, FL, USA.},
abstract = {Research scientists and clinicians should be aware that missed diagnoses of mild-moderate traumatic brain injuries in post-acute patients having spinal cord injuries may approach 60-74% with certain risk factors, potentially causing clinical consequences for patients, and confounding the results of clinical research studies. Factors leading to a missed diagnosis may include acute trauma-related life-threatening issues, sedation/intubation, subtle neuropathology on neuroimaging, failure to collect Glasgow Coma Scale scores or duration of posttraumatic amnesia, or lack of validity of this information, and overlap in neuro-cognitive symptoms with emotional responses to spinal cord injuries. Strategies for avoiding a missed diagnosis of mild-moderate traumatic brain injuries in patients having a spinal cord injuries are highlighted in this perspective.},
keywords = {Overviews},
pubstate = {published},
tppubtype = {article}
}
Holt, G R
Sports concussions and traumatic brain injury Journal Article
In: Southern Medical Journal, vol. 107, pp. 114, 2014.
@article{Holt2014,
title = {Sports concussions and traumatic brain injury},
author = {Holt, G R},
year = {2014},
date = {2014-01-01},
journal = {Southern Medical Journal},
volume = {107},
pages = {114},
address = {From the Department of Otolaryngology-Head and Neck Surgery, University of Texas Health Science Center, San Antonio.},
keywords = {Overviews},
pubstate = {published},
tppubtype = {article}
}
Slobounov, S; Bazarian, J; Bigler, E; Cantu, R; Hallett, M; Harbaugh, R; Hovda, D; Mayer, A R; Nuwer, M R; Kou, Z; Lazzarino, G; Papa, L; Vagnozzi, R
Sports-related concussion: ongoing debate Journal Article
In: British Journal of Sports Medicine, vol. 48, pp. 75–76, 2014.
@article{Slobounov2014a,
title = {Sports-related concussion: ongoing debate},
author = {Slobounov, S and Bazarian, J and Bigler, E and Cantu, R and Hallett, M and Harbaugh, R and Hovda, D and Mayer, A R and Nuwer, M R and Kou, Z and Lazzarino, G and Papa, L and Vagnozzi, R},
year = {2014},
date = {2014-01-01},
journal = {British Journal of Sports Medicine},
volume = {48},
pages = {75--76},
address = {Department of Kinesiology and Neurosurgery, Penn State Center for Sports Concussion, The Pennsylvania State University, Penn State Hershey Medical Center, , University Park, Pennsylvania, USA.},
keywords = {Overviews},
pubstate = {published},
tppubtype = {article}
}
Tucker, A M
Update on sports concussion Journal Article
In: Current Reviews in Musculoskeletal Medicine, vol. 7, pp. 366–372, 2014.
Abstract | BibTeX | Tags: Overviews
@article{Tucker2014,
title = {Update on sports concussion},
author = {Tucker, A M},
year = {2014},
date = {2014-01-01},
journal = {Current Reviews in Musculoskeletal Medicine},
volume = {7},
pages = {366--372},
address = {Tucker,Andrew M. Medstar Union Memorial Sports Medicine, 1407 York Road, Suite 100A, Lutherville, MD, 21093, USA, Andrew.Tucker@medstar.net.},
abstract = {Over the past 20 years, sports concussion has become one of the most researched topics in sports medicine. Significant resources have been allocated to the study of this issue, with a dramatic increase in information concerning most aspects of this common sports injury. In light of this considerable increase in research, this review is offered to provide clinicians involved in the care of athletes a summary of key features of the evaluation and management of sports concussion with attention to recent contributions to the literature.},
keywords = {Overviews},
pubstate = {published},
tppubtype = {article}
}
Maroon, J C; Mathyssek, C; Bost, J
Cerebral concussion: a historical perspective Journal Article
In: Progress in Neurological Surgery, vol. 28, pp. 1–13, 2014.
Abstract | BibTeX | Tags: Overviews
@article{Maroon2014,
title = {Cerebral concussion: a historical perspective},
author = {Maroon, J C and Mathyssek, C and Bost, J},
year = {2014},
date = {2014-01-01},
journal = {Progress in Neurological Surgery},
volume = {28},
pages = {1--13},
address = {Department of Neurosurgery, University of Pittsburgh Medical Center, Pittsburgh, Pa., USA.},
abstract = {No topic in sports has gathered more attention and publicity than the diagnosis, management, and long-term effects of cerebral concussion. The relevant history of concussion starts in 1905 when President Theodore Roosevelt drew attention to the football 'death harvest'. Soon after, rules started to change to reduce the amount and severity of head injuries in football. Up until 1980, the primary focus regarding concussions was to diagnose a potentially fatal intracranial hemorrhage. While aware of long-term consequences of concussions, the perception at the time was that virtually all concussions would 'clear' with time and rest. Concussion management guidelines gave way to objective neuropsychological testing in the early 1990s with the development of the ImPACT (Immediate Post-Concussion Assessment and Cognitive Testing) neurocognitive test. Led by organized football, in 1994 the National Football League (NFL) formed the Mild Traumatic Brain Injury Committee which began to investigate the cause of concussions, evaluate equipment (particularly helmets), and recommend methods for prevention. In 2005, the first case of chronic traumatic encephalopathy was described in a deceased football player, raising concerns about the long-term consequences of head injuries and concussions. Major advancements in contact sports and the military are underway to reduce the incidence of concussions and subconcussive blows to the head. 2014 S. Karger AG, Basel.},
keywords = {Overviews},
pubstate = {published},
tppubtype = {article}
}
Baldea, J D
In response to: time to re-think the Zurich Guidelines? A critique on the consensus statement on concussion in Sport: the 4th International Conference on Concussion in Sport, held in Zurich, November 2012 Journal Article
In: Clinical Journal of Sport Medicine, vol. 24, pp. 521–522, 2014.
@article{Baldea2014,
title = {In response to: time to re-think the Zurich Guidelines? A critique on the consensus statement on concussion in Sport\: the 4th International Conference on Concussion in Sport, held in Zurich, November 2012},
author = {Baldea, J D},
year = {2014},
date = {2014-01-01},
journal = {Clinical Journal of Sport Medicine},
volume = {24},
pages = {521--522},
address = {Baldea,John D. Director, Primary Care Sports Medicine Fellowship Department of Family Medicine, Indiana University School of Medicine, Indianapolis, Indiana.},
keywords = {Overviews},
pubstate = {published},
tppubtype = {article}
}
Piazza, S
Why is it so hard to stop sports concussions? Journal Article
In: American Scientist, vol. 102, pp. 346–349, 2014.
Abstract | Links | BibTeX | Tags: Overviews
@article{Piazza2014,
title = {Why is it so hard to stop sports concussions?},
author = {Piazza, S},
doi = {10.1511/2014.110.346},
year = {2014},
date = {2014-01-01},
journal = {American Scientist},
volume = {102},
pages = {346--349},
abstract = {Human behavior conspires with the complex mechanics of head impacts to keep injury rates high. Recent research shows why so many sports injuries keep occurring and points to some possible solutions. Protecting the brain from concussion and chronic traumatic encephalopathy requires more than just increasing the amount of helmet padding. It necessitates an understanding of how brain injury differs from the cracking of an egg dropped on the floor, and how helmets influence the behavior of those who wear them. The threads connecting the egg to the lid of the jar twist around one another and either break or tear away a piece of the egg's shell. Making things more confusing, researchers have not yet been able to identify a single factor that determines the threshold for concussion. The proposed multi-factorial measure was more predictive of concussion than guessing, suggesting that the causes of concussion are complex and cannot be identified by a single biomechanical variable.},
keywords = {Overviews},
pubstate = {published},
tppubtype = {article}
}
Giza, C C; Kutcher, J S
An introduction to sports concussions Journal Article
In: CONTINUUM: Lifelong Learning in Neurology, vol. 20, pp. 1545–1551, 2014.
Abstract | BibTeX | Tags: Overviews
@article{Giza2014,
title = {An introduction to sports concussions},
author = {Giza, C C and Kutcher, J S},
year = {2014},
date = {2014-01-01},
journal = {CONTINUUM: Lifelong Learning in Neurology},
volume = {20},
pages = {1545--1551},
abstract = {PURPOSE OF REVIEW: Concussions are a major public health issue, and particularly so in the setting of sports. Millions of athletes of all ages may face the risks of concussion and repeat concussion. This article introduces the terminology, epidemiology, and underlying pathophysiology associated with concussion, focused on sports-related injuries. RECENT FINDINGS: Concussion is a clinical syndrome of symptoms and signs occurring after biomechanical force is imparted to the brain. Because of the subjective nature of symptom reporting, definitions of concussion differ slightly in different guidelines. Concussion nomenclature also includes mild traumatic brain injury, postconcussion symptoms, postconcussion syndrome, chronic neurocognitive impairment, subconcussive injury, and chronic traumatic encephalopathy. Between 1.6 and 3.8 million sports-related concussions are estimated in the United States annually, particularly in youth athletes. Rates of concussion are higher in sports such as football, rugby, ice hockey, and wrestling in males, and soccer and basketball in females. The underlying pathophysiology of concussion centers on membrane leakage, ionic flux, indiscriminate glutamate release, and energy crisis. These initial events then trigger ongoing metabolic impairment, vulnerability to second injury, altered neural activation, and axonal dysfunction. While the linkage between acute neurobiology and chronic deficits remains to be elucidated, activation of cell death pathways, ongoing inflammation, persistent metabolic problems, and accumulation of abnormal or toxic proteins have all been implicated. SUMMARY: Concussion is a biomechanically induced syndrome of neural dysfunction. Millions of concussions occur annually, many of them related to sports. Biologically, a complex sequence of events occurs from initial ionic flux, glutamate release, and axonal damage, resulting in vulnerability to second injury and possibly to longer-term neurodegeneration.},
keywords = {Overviews},
pubstate = {published},
tppubtype = {article}
}
Sharma, B; Lawrence, D W
Top-cited articles in traumatic brain injury Journal Article
In: Frontiers in Human Neuroscience, vol. 8, pp. 879, 2014.
Abstract | BibTeX | Tags: Overviews
@article{Sharma2014a,
title = {Top-cited articles in traumatic brain injury},
author = {Sharma, B and Lawrence, D W},
year = {2014},
date = {2014-01-01},
journal = {Frontiers in Human Neuroscience},
volume = {8},
pages = {879},
address = {Sharma,Bhanu. Toronto Rehabilitation Institute, University of Toronto , Toronto, ON , Canada. Lawrence,David Wyndham. Department of Family and Community Medicine, St. Michael's Hospital, University of Toronto , Toronto, ON , Canada.},
abstract = {A review of the top-cited articles in a scientific discipline can identify areas of research that are well established and those in need of further development, and may, as a result, inform and direct future research efforts. Our objective was to identify and characterize the top-cited articles in traumatic brain injury (TBI). We used publically available software to identify the 50 TBI articles with the most lifetime citations, and the 50 TBI articles with the highest annual citation rates. A total of 73 articles were included in this review, with 27 of the 50 papers with the highest annual citation rates common to the cohort of 50 articles with the most lifetime citations. All papers were categorized by their primary topic or focus, namely: predictor of outcome, pathology/natural history, treatment, guidelines and consensus statements, epidemiology, assessment measures, or experimental model of TBI. The mean year of publication of the articles with the most lifetime citations and highest annual citation rates was 1990+/-14.9years and 2003+/-6.7years, respectively. The 50 articles with the most lifetime citations typically studied predictors of outcome (34.0%, 17/50) and were specific to severe TBI (38.0%, 19/50). In contrast, the most common subject of papers with the highest annual citation rates was treatment of brain injury (22.0%, 11/50), and these papers most frequently investigated mild TBI (36.0%, 18/50). These findings suggest an intensified focus on mild TBI, which is perhaps a response to the dedicated attention these injuries are currently receiving in the context of sports and war, and because of their increasing incidence in developing nations. Our findings also indicate increased focus on treatment of TBI, possibly due to the limited efficacy of current interventions for brain injury. This review provides a cross-sectional summary of some of the most influential articles in TBI, and a bibliometric examination of the current status of TBI research.},
keywords = {Overviews},
pubstate = {published},
tppubtype = {article}
}
Miles, C M
Concussion management: The current landscape Journal Article
In: JAAPA, vol. 27, pp. 8–9, 2014.
@article{Miles2014,
title = {Concussion management: The current landscape},
author = {Miles, C M},
year = {2014},
date = {2014-01-01},
journal = {JAAPA},
volume = {27},
pages = {8--9},
address = {Christopher M. Miles is an assistant professor in the Department of Family and Community Medicine and assistant program director of the Primary Care Sports Medicine Fellowship at Wake Forest School of Medicine in Winston-Salem, N.C. The author has indicat},
keywords = {Overviews},
pubstate = {published},
tppubtype = {article}
}
Master, C L; Balcer, L; Collins, M
Concussion Journal Article
In: Annals of Internal Medicine, vol. 160, no. 3, pp. ITC2–1, 2014.
BibTeX | Tags: *Brain Concussion, Brain Concussion/di [Diagnosis], Brain Concussion/pc [Prevention & Control], Brain Concussion/th [Therapy], Humans, Overviews, Patient Education as Topic, Prognosis
@article{Master2014,
title = {Concussion},
author = {Master, C L and Balcer, L and Collins, M},
year = {2014},
date = {2014-01-01},
journal = {Annals of Internal Medicine},
volume = {160},
number = {3},
pages = {ITC2--1},
keywords = {*Brain Concussion, Brain Concussion/di [Diagnosis], Brain Concussion/pc [Prevention \& Control], Brain Concussion/th [Therapy], Humans, Overviews, Patient Education as Topic, Prognosis},
pubstate = {published},
tppubtype = {article}
}
Neselius, S; Brisby, H
Sport-related concussions: time to diversify care and recommendation advice Journal Article
In: Knee Surgery, Sports Traumatology, Arthroscopy, vol. 22, pp. 233–234, 2014.
@article{Neselius2014b,
title = {Sport-related concussions: time to diversify care and recommendation advice},
author = {Neselius, S and Brisby, H},
year = {2014},
date = {2014-01-01},
journal = {Knee Surgery, Sports Traumatology, Arthroscopy},
volume = {22},
pages = {233--234},
address = {Department of Orthopaedics, Sahlgrenska University Hospital, 413 45, Goteborg, Sweden, sanna.neselius@vgregion.se.},
keywords = {Overviews},
pubstate = {published},
tppubtype = {article}
}
Fremont, P
In response to: time to re-think the Zurich Guidelines? A critique on the consensus statement on Concussion in Sport: the 4th International Conference on Concussion in Sport, held in Zurich, November 2012 Journal Article
In: Clinical Journal of Sport Medicine, vol. 24, pp. 520–521, 2014.
@article{Fremont2014,
title = {In response to: time to re-think the Zurich Guidelines? A critique on the consensus statement on Concussion in Sport\: the 4th International Conference on Concussion in Sport, held in Zurich, November 2012},
author = {Fremont, P},
year = {2014},
date = {2014-01-01},
journal = {Clinical Journal of Sport Medicine},
volume = {24},
pages = {520--521},
address = {Fremont,Pierre. Canadian Academy of Sport and Exercise Medicine, Quebec City, Quebec, Canada and Department of Rehabilitation, Faculty of Medicine, Laval University, Quebec City, Quebec, Canada.},
keywords = {Overviews},
pubstate = {published},
tppubtype = {article}
}
West, T A; Marion, D W
Current recommendations for the diagnosis and treatment of concussion in sport: a comparison of three new guidelines Journal Article
In: Journal of Neurotrauma, vol. 31, pp. 159–168, 2014.
Abstract | BibTeX | Tags: Overviews
@article{West2014,
title = {Current recommendations for the diagnosis and treatment of concussion in sport: a comparison of three new guidelines},
author = {West, T A and Marion, D W},
year = {2014},
date = {2014-01-01},
journal = {Journal of Neurotrauma},
volume = {31},
pages = {159--168},
address = {Defense and Veterans Brain Injury Center , Silver Spring, Maryland.},
abstract = {Abstract Currently, there is considerable debate within the sports medicine community about the role of concussion and the risk of chronic neurological sequelae. This concern has led to significant confusion among primary care providers and athletic trainers about how to best identify those athletes at risk and how to treat those with concussion. During the first quarter of 2013, several new or updated clinical practice guidelines and position statements were published on the diagnosis, treatment, and management of mild traumatic brain injury/concussion in sports. Three of these guidelines were produced by the American Medical Society for Sports Medicine, The American Academy of Neurology, and the Zurich Consensus working group. The goal of each group was to clearly define current best practices for the definition, diagnosis, and acute and post-acute management of sports-related concussion, including specific recommendations for return to play. In this article, we compare the recommendations of each of the three groups, and highlight those topics for which there is consensus regarding the definition of concussion, diagnosis, and acute care of athletes suspected of having a concussion, as well as return-to-play recommendations.},
keywords = {Overviews},
pubstate = {published},
tppubtype = {article}
}
Kutcher, J S; Giza, C C
Sports concussion diagnosis and management Journal Article
In: CONTINUUM: Lifelong Learning in Neurology, vol. 20, pp. 1552–1569, 2014.
Abstract | BibTeX | Tags: Overviews
@article{Kutcher2014a,
title = {Sports concussion diagnosis and management},
author = {Kutcher, J S and Giza, C C},
year = {2014},
date = {2014-01-01},
journal = {CONTINUUM: Lifelong Learning in Neurology},
volume = {20},
pages = {1552--1569},
abstract = {PURPOSE OF REVIEW: To provide the neurologist with a framework for the clinical approach to sports concussion diagnosis and management. RECENT FINDINGS: As the issue of brain injury in athletes has emerged and developed, shifting the landscape of public concern, neurologists have become more directly involved in the diagnosis and management of sports concussion. Neurologists are now playing an increased role in acute concussion diagnosis, early injury management, return-to-play decisions, and evaluation for potential long-term effects from exposure to biomechanical forces on brain health. Concussion is only one part of this spectrum, but it is no small concern. Sports concussion diagnosis and management require a comprehensive neurologic approach as the return-to-play decision is a medical one covering a spectrum of potential complications and future risks. Understanding the clinical syndrome of concussion as well as the underlying pathophysiologic mechanism is essential to providing care. Employing classic neurologic diagnostic techniques while concurrently respecting the unique nature of caring for athletes is also critical. Without an objective method of measuring the underlying metabolic injury, concussion management is, by necessity, a clinically intense endeavor that requires a broad skill set. SUMMARY: Providing recommendations regarding the long-term effects of brain trauma and the need for retirement from contact sports requires an appreciation for both the reason for concern and the lack of data to frame this risk. As science continues to advance in this area, so will our diagnostic approaches and management schema. Neurologists caring for athletes with brain trauma should continue to seek the best possible evidence to help shape their clinical decisions.},
keywords = {Overviews},
pubstate = {published},
tppubtype = {article}
}
Broglio, S P; Cantu, R C; Gioia, G A; Guskiewicz, K M; Kutcher, J; Palm, M; Valovich McLeod, T C
National Athletic Trainers' Association position statement: management of sport concussion Journal Article
In: Journal of Athletic Training, vol. 49, pp. 245–265, 2014.
Abstract | BibTeX | Tags: Overviews
@article{Broglio2014,
title = {National Athletic Trainers' Association position statement: management of sport concussion},
author = {Broglio, S P and Cantu, R C and Gioia, G A and Guskiewicz, K M and Kutcher, J and Palm, M and {Valovich McLeod}, T C},
year = {2014},
date = {2014-01-01},
journal = {Journal of Athletic Training},
volume = {49},
pages = {245--265},
address = {University of Michigan, Ann Arbor.},
abstract = {OBJECTIVE: To provide athletic trainers, physicians, and other health care professionals with best-practice guidelines for the management of sport-related concussions. BACKGROUND: An estimated 3.8 million concussions occur each year in the United States as a result of sport and physical activity. Athletic trainers are commonly the first medical providers available onsite to identify and evaluate these injuries. RECOMMENDATIONS: The recommendations for concussion management provided here are based on the most current research and divided into sections on education and prevention, documentation and legal aspects, evaluation and return to play, and other considerations.},
keywords = {Overviews},
pubstate = {published},
tppubtype = {article}
}
Patricios, J S; Makdissi, M
The sports concussion picture: fewer 'pixels', more HD Journal Article
In: British Journal of Sports Medicine, vol. 48, pp. 71–72, 2014.
@article{Patricios2014c,
title = {The sports concussion picture: fewer 'pixels', more HD},
author = {Patricios, J S and Makdissi, M},
year = {2014},
date = {2014-01-01},
journal = {British Journal of Sports Medicine},
volume = {48},
pages = {71--72},
address = {Section of Sports Medicine, Faculty of Health Sciences, University of Pretoria, , Pretoria, Johannesburg, South Africa.},
keywords = {Overviews},
pubstate = {published},
tppubtype = {article}
}
Harmon, K G; Drezner, J A; Gammons, M
Erratum: American Medical Society for Sports Medicine position statement: Concussion in sport (British Journal of Sports Medicine (2013) 47 (15-26)) Journal Article
In: British Journal of Sports Medicine, vol. 47, pp. 184, 2013.
@article{Harmon2013b,
title = {Erratum: American Medical Society for Sports Medicine position statement: Concussion in sport (British Journal of Sports Medicine (2013) 47 (15-26))},
author = {Harmon, K G and Drezner, J A and Gammons, M},
year = {2013},
date = {2013-01-01},
journal = {British Journal of Sports Medicine},
volume = {47},
pages = {184},
keywords = {Overviews},
pubstate = {published},
tppubtype = {article}
}
Purcell, Laura; Kissick, Jamie; Rizos, John
Concussion Journal Article
In: CMAJ: Canadian Medical Association Journal, vol. 185, no. 11, pp. 981, 2013, ISBN: 08203946.
Abstract | Links | BibTeX | Tags: Assessment/Testing, BRAIN -- Concussion, BRAIN -- Diseases, BRAIN -- Imaging, BRAIN -- Wounds & injuries, BRAIN function localization, Children Under 13, Overviews
@article{Purcell2013,
title = {Concussion},
author = {Purcell, Laura and Kissick, Jamie and Rizos, John},
doi = {10.1503/cmaj.120039},
isbn = {08203946},
year = {2013},
date = {2013-01-01},
journal = {CMAJ: Canadian Medical Association Journal},
volume = {185},
number = {11},
pages = {981},
abstract = {The article offers information on several topics related to concussions which includes effects of brain trauma on brain functioning, Sport Concussion Assessment Tool 3 and ChildSCAT3 for evaluation of concussion and standard imaging. It also mentions that physical and mental rest is involved in management of acute concussion.},
keywords = {Assessment/Testing, BRAIN -- Concussion, BRAIN -- Diseases, BRAIN -- Imaging, BRAIN -- Wounds \& injuries, BRAIN function localization, Children Under 13, Overviews},
pubstate = {published},
tppubtype = {article}
}
Onieal, Marie-Eileen
Don't Put Me in, Coach Journal Article
In: Clinician Reviews, vol. 23, pp. 10–11, 2013, ISBN: 10520627.
Abstract | BibTeX | Tags: 1969-2012, BRAIN -- Concussion, BRAIN -- Wounds & injuries -- Prevention, Football (American), HIGH school football players, Junior, Legal & Policy Issues, Overviews, SEAU, SPORTS injuries, Treatment
@article{Onieal2013,
title = {Don't Put Me in, Coach},
author = {Onieal, Marie-Eileen},
isbn = {10520627},
year = {2013},
date = {2013-01-01},
journal = {Clinician Reviews},
volume = {23},
pages = {10--11},
abstract = {The author reflects on traumatic brain injury (TBI) sustained by athletes. She highlights the need for TBI awareness by mentioning a study on high school football players in 2010, the suicide of former football player Junior Seau in May 2012 and laws regarding concussion management. She asserts the need for TBI prevention and suggests that minor injuries be brought to closer investigation.},
keywords = {1969-2012, BRAIN -- Concussion, BRAIN -- Wounds \& injuries -- Prevention, Football (American), HIGH school football players, Junior, Legal \& Policy Issues, Overviews, SEAU, SPORTS injuries, Treatment},
pubstate = {published},
tppubtype = {article}
}
Kelly, Judy C; Amerson, Efland H; Barth, Jeffrey T
Mild traumatic brain injury: lessons learned from clinical, sports, and combat concussions Journal Article
In: Rehabilitation Research & Practice, vol. 2012, 2012.
Abstract | BibTeX | Tags: Overviews
@article{Kelly2012a,
title = {Mild traumatic brain injury: lessons learned from clinical, sports, and combat concussions},
author = {Kelly, Judy C and Amerson, Efland H and Barth, Jeffrey T},
year = {2012},
date = {2012-01-01},
journal = {Rehabilitation Research \& Practice},
volume = {2012},
address = {Department of Psychiatry \& Neurobehavioral Sciences, University of Virginia, Charlottesville, VA 22908, USA.},
abstract = {Over the past forty years, a tremendous amount of information has been gained on the mechanisms and consequences of mild traumatic brain injuries. Using sports as a laboratory to study this phenomenon, a natural recovery curve emerged, along with standards for managing concussions and returning athletes back to play. Although advances have been made in this area, investigation into recovery and return to play continues. With the increase in combat-related traumatic brain injuries in the military setting, lessons learned from sports concussion research are being applied by the Department of Defense to the assessment of blast concussions and return to duty decision making. Concussion management and treatment for military personnel can be complicated by additional combat related stressors not present in the civilian environment. Cognitive behavioral therapy is one of the interventions that has been successful in treating symptoms of postconcussion syndrome. While we are beginning to have an understanding of the impact of multiple concussions and subconcussive blows in the sports world, much is still unknown about the impact of multiple blast injuries.},
keywords = {Overviews},
pubstate = {published},
tppubtype = {article}
}
Kirkwood, Michael W; Randolph, Christopher; Yeates, Keith O
Sport-related concussion: a call for evidence and perspective amidst the alarms Journal Article
In: Clinical Journal of Sport Medicine, vol. 22, pp. 383–384, 2012.
@article{Kirkwood2012,
title = {Sport-related concussion: a call for evidence and perspective amidst the alarms},
author = {Kirkwood, Michael W and Randolph, Christopher and Yeates, Keith O},
year = {2012},
date = {2012-01-01},
journal = {Clinical Journal of Sport Medicine},
volume = {22},
pages = {383--384},
keywords = {Overviews},
pubstate = {published},
tppubtype = {article}
}
Neal, Matthew T; Wilson, Jonathan L; Hsu, Wesley; Powers, Alexander K
Concussions: What a neurosurgeon should know about current scientific evidence and management strategies Journal Article
In: Surgical Neurology International, vol. 3, pp. 16, 2012.
Abstract | BibTeX | Tags: Overviews
@article{Neal2012,
title = {Concussions: What a neurosurgeon should know about current scientific evidence and management strategies},
author = {Neal, Matthew T and Wilson, Jonathan L and Hsu, Wesley and Powers, Alexander K},
year = {2012},
date = {2012-01-01},
journal = {Surgical Neurology International},
volume = {3},
pages = {16},
address = {Department of Neurosurgery, Wake Forest University School of Medicine, Winston-Salem, NC 27157, USA.},
abstract = {BACKGROUND: There has been a tremendous amount of interest focused on the topic of concussions over the past few decades. Neurosurgeons are frequently consulted to manage patients with mild traumatic brain injuries (mTBI) that have radiographic evidence of cerebral injury. These injuries share significant overlap with concussions, injuries that typically do not reveal radiographic evidence of structural injury, in the realms of epidemiology, pathophysiology, outcomes, and management. Further, neurosurgeons often manage patients with extracranial injuries that have concomitant concussions. In these cases, neurosurgeons are often the only "concussion experts" that patients encounter. RESULTS: The literature has been reviewed and data have been synthesized on the topic including sections on historical background, epidemiology, pathophysiology, diagnostic advances, clinical sequelae, and treatment suggestions, with neurosurgeons as the intended target audience. CONCLUSIONS: Neurosurgeons should have a fundamental knowledge of the scientific evidence that has developed regarding concussions and be prepared to guide patients with treatment plans.},
keywords = {Overviews},
pubstate = {published},
tppubtype = {article}
}
Khurana, Vini G; Kaye, Andrew H
An overview of concussion in sport Journal Article
In: Journal of Clinical Neuroscience, vol. 19, pp. 1–11, 2012.
Abstract | BibTeX | Tags: Overviews
@article{Khurana2012,
title = {An overview of concussion in sport},
author = {Khurana, Vini G and Kaye, Andrew H},
year = {2012},
date = {2012-01-01},
journal = {Journal of Clinical Neuroscience},
volume = {19},
pages = {1--11},
address = {Department of Neurosurgery, The Royal Melbourne Hospital, Grattan Street, Parkville, Victoria 3050, Australia.},
abstract = {Concussion is a sudden-onset, transient alteration of consciousness due to a combination of functional and structural brain disturbances following a physical impact transmitted to the brain. It is a common, although likely underreported, condition encountered in a wide range of sports. In the Australian Football League, concussion is estimated to occur at a rate of approximately seven injuries per team per season. While many instances of concussion are clinically mild, there is emerging evidence that a player's full recovery from a concussive injury may be more delayed and the sequelae of repeated concussions more severe than previously thought. In this light, a more conservative and rigorous approach to managing players with concussive injuries may be warranted, with the guiding principle being the player's immediate and long-term welfare. The current paper reviews the sports concussion literature. The definition, epidemiology, aetiology, pathophysiology, structural pathology, clinical features, assessment and investigation, treatment principles, and short-term and potential long-term complications of concussion are discussed. Special considerations in paediatric sports concussion, and the return-to-play implications of immediate, evolving and repetitive brain injury are also considered, as are the emerging concept and possible implications of subconcussive injury.},
keywords = {Overviews},
pubstate = {published},
tppubtype = {article}
}
Sahler, C S; Greenwald, B D
Traumatic brain injury in sports: a review Journal Article
In: Rehabilitation Research & Practice Print, vol. 2012, pp. 659652, 2012.
Abstract | BibTeX | Tags: Overviews
@article{Sahler2012,
title = {Traumatic brain injury in sports: a review},
author = {Sahler, C S and Greenwald, B D},
year = {2012},
date = {2012-01-01},
journal = {Rehabilitation Research \& Practice Print},
volume = {2012},
pages = {659652},
address = {Department of Physical Medicine and Rehabilitation, The Mount Sinai Hospital, One Gustave L. Levy Place, P.O. Box 1240, New York, NY 10029, USA.},
abstract = {Traumatic brain injury (TBI) is a clinical diagnosis of neurological dysfunction following head trauma, typically presenting with acute symptoms of some degree of cognitive impairment. There are an estimated 1.7 to 3.8 million TBIs each year in the United States, approximately 10 percent of which are due to sports and recreational activities. Most brain injuries are self-limited with symptom resolution within one week, however, a growing amount of data is now establishing significant sequelae from even minor impacts such as headaches, prolonged cognitive impairments, or even death. Appropriate diagnosis and treatment according to standardized guidelines are crucial when treating athletes who may be subjected to future head trauma, possibly increasing their likelihood of long-term impairments.},
keywords = {Overviews},
pubstate = {published},
tppubtype = {article}
}
Almasi, Stephen J; Wilson, John J
An update on the diagnosis and management of concussion Journal Article
In: WMJ, vol. 111, pp. 21–7; quiz 28, 2012.
Abstract | BibTeX | Tags: Overviews
@article{Almasi2012,
title = {An update on the diagnosis and management of concussion},
author = {Almasi, Stephen J and Wilson, John J},
year = {2012},
date = {2012-01-01},
journal = {WMJ},
volume = {111},
pages = {21--7; quiz 28},
address = {University of Wisconsin School of Medicine and Public Health, Department of Family Medicine, 1100 Delaplaine Court, Madison, WI 53715 84, USA.},
abstract = {Concussion is a common medical problem with significant morbidity and sometimes devastating consequences. Awareness of this injury has increased dramatically in recent years, and our understanding of its pathophysiology and treatment is rapidly evolving. This article reviews the current concepts of concussion pathophysiology and epidemiology, and will provide an overview of proper diagnosis and management. Complications and risk reduction also will be reviewed. By understanding the essentials of concussion medicine, health care professionals will be equipped to manage this injury, including common complications.},
keywords = {Overviews},
pubstate = {published},
tppubtype = {article}
}
Mott, T F; McConnon, M L; Rieger, B P
Subacute to chronic mild traumatic brain injury Journal Article
In: American Family Physician, vol. 86, pp. 1045–1051, 2012, ISSN: 1532-0650 (Electronic) 0002-838X (Linking).
Abstract | BibTeX | Tags: Overviews
@article{Mott2012,
title = {Subacute to chronic mild traumatic brain injury},
author = {Mott, T F and McConnon, M L and Rieger, B P},
issn = {1532-0650 (Electronic) 0002-838X (Linking)},
year = {2012},
date = {2012-01-01},
journal = {American Family Physician},
volume = {86},
pages = {1045--1051},
address = {Naval Hospital Pensacola, Pensacola , FL, USA.},
edition = {2012/12/04},
abstract = {Although a universally accepted definition is lacking, mild traumatic brain injury and concussion are classified by transient loss of consciousness, amnesia, altered mental status, a Glasgow Coma Score of 13 to 15, and focal neurologic deficits following an acute closed head injury. Most patients recover quickly, with a predictable clinical course of recovery within the first one to two weeks following traumatic brain injury. Persistent physical, cognitive, or behavioral postconcussive symptoms may be noted in 5 to 20 percent of persons who have mild traumatic brain injury. Physical symptoms include headaches, dizziness, and nausea, and changes in coordination, balance, appetite, sleep, vision, and hearing. Cognitive and behavioral symptoms include fatigue, anxiety, depression, and irritability, and problems with memory, concentration and decision making. Women, older adults, less educated persons, and those with a previous mental health diagnosis are more likely to have persistent symptoms. The diagnostic workup for subacute to chronic mild traumatic brain injury focuses on the history and physical examination, with continuing observation for the development of red flags such as the progression of physical, cognitive, and behavioral symptoms, seizure, progressive vomiting, and altered mental status. Early patient and family education should include information on diagnosis and prognosis, symptoms, and further injury prevention. Symptom-specific treatment, gradual return to activity, and multidisciplinary coordination of care lead to the best outcomes. Psychiatric and medical comorbidities, psychosocial issues, and legal or compensatory incentives should be explored in patients resistant to treatment.},
keywords = {Overviews},
pubstate = {published},
tppubtype = {article}
}
Ellenbogen, Richard G
Editorial: Sports and concussion Journal Article
In: Journal of Neurosurgery, vol. 117, pp. 1089–1091, 2012.
@article{Ellenbogen2012,
title = {Editorial: Sports and concussion},
author = {Ellenbogen, Richard G},
year = {2012},
date = {2012-01-01},
journal = {Journal of Neurosurgery},
volume = {117},
pages = {1089--1091},
address = {Department of Neurological Surgery, University of Washington, Seattle, Washington.},
keywords = {Overviews},
pubstate = {published},
tppubtype = {article}
}
Rivara, F P
Concussion Time to Start Paying Attention Journal Article
In: Archives of Pediatrics & Adolescent Medicine, vol. 166, pp. 666–667, 2012.
Links | BibTeX | Tags: Overviews
@article{Rivara2012,
title = {Concussion Time to Start Paying Attention},
author = {Rivara, F P},
doi = {10.1001/archpediatrics.2011.1602},
year = {2012},
date = {2012-01-01},
journal = {Archives of Pediatrics \& Adolescent Medicine},
volume = {166},
pages = {666--667},
keywords = {Overviews},
pubstate = {published},
tppubtype = {article}
}
Upshaw, Jana E; Gosserand, Jaime Kaye; Williams, Nolan; Edwards, Jonathan C
Sports-related concussions Journal Article
In: Pediatric Emergency Care, vol. 28, pp. 926–932, 2012.
Abstract | BibTeX | Tags: Overviews
@article{Upshaw2012,
title = {Sports-related concussions},
author = {Upshaw, Jana E and Gosserand, Jaime Kaye and Williams, Nolan and Edwards, Jonathan C},
year = {2012},
date = {2012-01-01},
journal = {Pediatric Emergency Care},
volume = {28},
pages = {926--932},
address = {Division of Pediatric Emergency Medicine, Department of Pediatrics, Medical University of South Carolina, Charleston, SC 29425, USA. upshawje@musc.edu},
abstract = {During the past decade, awareness of concussions has exploded as both the media and the medical literature have given more focus to this common problem. Concussions after recreational activities, especially athletics, are a frequent complaint in the emergency department. In the past few years, care of these patients has been simplified as grading systems and classifications have been abandoned. However, questions remain as to the best way to rehabilitate these patients to avoid long-term sequelae, especially in children and adolescents. The purpose of this review is to discuss the demographic characteristics, the pathophysiology, definition, clinical characteristics, and management of concussions in children and adolescents.},
keywords = {Overviews},
pubstate = {published},
tppubtype = {article}
}
Marshall, Cameron M
Sports-related concussion: A narrative review of the literature Journal Article
In: Journal of the Canadian Chiropractic Association, vol. 56, pp. 299–310, 2012.
Abstract | BibTeX | Tags: Overviews
@article{Marshall2012b,
title = {Sports-related concussion: A narrative review of the literature},
author = {Marshall, Cameron M},
year = {2012},
date = {2012-01-01},
journal = {Journal of the Canadian Chiropractic Association},
volume = {56},
pages = {299--310},
address = {Sport Sciences Resident, Department of Graduate Studies, Canadian Memorial Chiropractic College, 6100 Leslie St, Toronto ON, M2H 3J1, 416-482-2560, cmarshall@cmcc.ca.},
abstract = {Sports-related concussion has gained widespread interest and media attention in recent years due to the potential dangers and long-term consequences. Despite several international consensus statements there remains a great deal of uncertainty surrounding these injuries. This paper is a review of recent literature on the topic of concussion, consisting of: biomechanics, pathophysiology, diagnosis and sideline management.},
keywords = {Overviews},
pubstate = {published},
tppubtype = {article}
}
Scorza, Keith A; Raleigh, Meghan F; O'Connor, Francis G
Current concepts in concussion: evaluation and management Journal Article
In: American Family Physician, vol. 85, pp. 123–132, 2012.
Abstract | BibTeX | Tags: Overviews
@article{Scorza2012,
title = {Current concepts in concussion: evaluation and management},
author = {Scorza, Keith A and Raleigh, Meghan F and O'Connor, Francis G},
year = {2012},
date = {2012-01-01},
journal = {American Family Physician},
volume = {85},
pages = {123--132},
address = {Fort Belvoir Community Hospital, Fort Belvoir, VA, USA.},
abstract = {Concussion is a disturbance in brain function caused by direct or indirect force to the head. It is a functional rather than structural injury that results from shear stress to brain tissue caused by rotational or angular forces-direct impact to the head is not required. Initial evaluation involves eliminating cervical spine injury and serious traumatic brain injury. Headache is the most common symptom of concussion, although a variety of clinical domains (e.g., somatic, cognitive, affective) can be affected. Signs and symptoms are nonspecific; therefore, a temporal relationship between an appropriate mechanism of injury and symptoms must be determined. There are numerous assessment tools to aid diagnosis, including symptom checklists, neuropsychological tests, postural stability tests, and sideline assessment tools. These tools are also used to monitor recovery. Cognitive and physical rest are the cornerstones of initial management. There are no specific treatments for concussion; therefore, focus is on managing symptoms and return to play. Because concussion recovery is variable, rigid classification systems have mostly been abandoned in favor of an individualized approach. A graded return-to-play protocol can be implemented once a patient has recovered in all affected domains. Children, adolescents, and those with a history of concussions may require a longer recovery period. There is limited research on the management of concussions in children and adolescents, but concern for potential consequences of injury to the developing brain suggests that a more conservative approach to management is appropriate in these patients.},
keywords = {Overviews},
pubstate = {published},
tppubtype = {article}
}
Tasker, Robert C; Pomeroy, Scott L
Sport-related concussion: time to take notice Journal Article
In: Current Opinion in Pediatrics, vol. 24, pp. 687–688, 2012.
@article{Tasker2012,
title = {Sport-related concussion: time to take notice},
author = {Tasker, Robert C and Pomeroy, Scott L},
year = {2012},
date = {2012-01-01},
journal = {Current Opinion in Pediatrics},
volume = {24},
pages = {687--688},
address = {Departments of Neurology and Anaesthesiology, Harvard Medical School and Boston Children's Hospital, Boston, Massachusetts, USA.},
keywords = {Overviews},
pubstate = {published},
tppubtype = {article}
}
Watts, Steve A
Sports-related concussion Journal Article
In: Journal of the Mississippi State Medical Association, vol. 52, pp. 106–109, 2011.
@article{Watts2011a,
title = {Sports-related concussion},
author = {Watts, Steve A},
year = {2011},
date = {2011-01-01},
journal = {Journal of the Mississippi State Medical Association},
volume = {52},
pages = {106--109},
address = {Department of Orthopedic Surgery and Rehabilitation, University of Mississippi Medical Center, Jackson 39126, USA. 39216, USA. sawatts@umc.edu},
keywords = {Overviews},
pubstate = {published},
tppubtype = {article}
}
Miller, Mark D
Concussion in sports. Foreword Journal Article
In: Clinics in Sports Medicine, vol. 30, pp. xv, 2011.
@article{Miller2011,
title = {Concussion in sports. Foreword},
author = {Miller, Mark D},
year = {2011},
date = {2011-01-01},
journal = {Clinics in Sports Medicine},
volume = {30},
pages = {xv},
address = {Department of Orthopaedic Surgery, University of Virginia, 400 Ray C. Hunt Drive, Suite 330, Charlottesville, VA 22908-0159, USA. mdm3p@virginia.edu},
keywords = {Overviews},
pubstate = {published},
tppubtype = {article}
}
Ferrari, Robert
Whiplash and Minor Head Injury: The Problem is Finding the Problem Journal Article
In: Headache, vol. 51, pp. 163–165, 2011, ISSN: 1526-4610.
Links | BibTeX | Tags: Overviews
@article{Ferrari2011,
title = {Whiplash and Minor Head Injury: The Problem is Finding the Problem},
author = {Ferrari, Robert},
doi = {10.1111/j.1526-4610.2010.01748.x},
issn = {1526-4610},
year = {2011},
date = {2011-01-01},
journal = {Headache},
volume = {51},
pages = {163--165},
keywords = {Overviews},
pubstate = {published},
tppubtype = {article}
}
Kimbler, Donald E; Murphy, Marguerite; Dhandapani, Krishnan M
Concussion and the adolescent athlete Journal Article
In: Journal of Neuroscience Nursing, vol. 43, pp. 286–290, 2011.
Abstract | BibTeX | Tags: Overviews
@article{Kimbler2011,
title = {Concussion and the adolescent athlete},
author = {Kimbler, Donald E and Murphy, Marguerite and Dhandapani, Krishnan M},
year = {2011},
date = {2011-01-01},
journal = {Journal of Neuroscience Nursing},
volume = {43},
pages = {286--290},
address = {Questions or comments about this article may be directed to Donald E. Kimbler, MSN CRNA, at dkimbler@georgiahealth.edu. He is a graduate student in the Department of Neurosurgery, Georgia Health Sciences University, Augusta, GA. Marguerite Murphy, DNP, is},
abstract = {ABSTRACT: Traumatic brain injury (TBI) is a complex and debilitating neurological injury that places a significant financial and emotional burden on both families and medical providers. Accumulating evidence suggests that mild TBI or concussion remains grossly underdiagnosed, as compared with more severe TBI, due to a poor understanding of the clinical signs and symptoms involved with a head injury. Notably, pediatric head injury may be associated with the subsequent development of serious, long-term neurological consequences, emphasizing the need for improved diagnosis and acute medical intervention. The purpose of this minireview is to summarize the association between participation in youth athletics and the occurrence of concussions, a primary source of mild TBI in the adolescent population, with the goal of increasing awareness within the nursing profession for this clinically important yet underdiagnosed form of brain injury.},
keywords = {Overviews},
pubstate = {published},
tppubtype = {article}
}
Nierengarten, Mary Beth
Neurologists weigh in on sports-related concussions Journal Article
In: Lancet Neurology, vol. 10, pp. 302–303, 2011.
@article{Nierengarten2011,
title = {Neurologists weigh in on sports-related concussions},
author = {Nierengarten, Mary Beth},
year = {2011},
date = {2011-01-01},
journal = {Lancet Neurology},
volume = {10},
pages = {302--303},
keywords = {Overviews},
pubstate = {published},
tppubtype = {article}
}
Sojka, Peter
"Sport" and "non-sport" concussions Journal Article
In: CMAJ Canadian Medical Association Journal, vol. 183, pp. 887–888, 2011.
@article{Sojka2011,
title = {"Sport" and "non-sport" concussions},
author = {Sojka, Peter},
year = {2011},
date = {2011-01-01},
journal = {CMAJ Canadian Medical Association Journal},
volume = {183},
pages = {887--888},
address = {Department of Health Sciences, Mid Sweden University, Ostersund, Sweden. peter.sojka@clinphys.umu.se},
keywords = {Overviews},
pubstate = {published},
tppubtype = {article}
}
Hamilton, N A; Keller, M S
Mild traumatic brain injury in children Journal Article
In: Seminars in Pediatric Surgery, vol. 19, pp. 271–278, 2010, ISSN: 1055-8586.
Abstract | Links | BibTeX | Tags: Overviews
@article{Hamilton2010,
title = {Mild traumatic brain injury in children},
author = {Hamilton, N A and Keller, M S},
doi = {10.1053/j.sempedsurg.2010.06.005},
issn = {1055-8586},
year = {2010},
date = {2010-01-01},
journal = {Seminars in Pediatric Surgery},
volume = {19},
pages = {271--278},
abstract = {Head injury occurs frequently in childhood and results in approximately 500,000 emergency department visits and over $1 billion in costs annually. Nearly 75% of these children are ultimately diagnosed with mild traumatic brain injury (MTBI), a misnomer because many will have radiographically identified intracranial injuries and long-term consequences. Identification of the brain at risk and prevention of secondary injury is associated with the largest reduction in head trauma morbidity and mortality. This article reviews the current literature to discuss the initial evaluation, management, and long-term outcomes in children sustaining MTBI.},
keywords = {Overviews},
pubstate = {published},
tppubtype = {article}
}
Ferullo, Shawn M; Green, Alysia
Update on concussion: here's what the experts say Journal Article
In: Journal of Family Practice, vol. 59, pp. 428–433, 2010.
Abstract | BibTeX | Tags: Overviews
@article{Ferullo2010,
title = {Update on concussion: here's what the experts say},
author = {Ferullo, Shawn M and Green, Alysia},
year = {2010},
date = {2010-01-01},
journal = {Journal of Family Practice},
volume = {59},
pages = {428--433},
address = {Department of Family Medicine, Boston Medical Center, Boston, MA, USA. Shawn.ferullo@bmc.org},
abstract = {Don't allow an athlete who has symptoms at rest or with exertion to return to play. Consider neuropsychological testing in conjunction with continued clinical assessment for objective measurements to assist in managing concussion. Recommend up-to-date protective equipment for athletes. Recent improvements, especially in football, have been shown to help decrease the incidence of concussion.},
keywords = {Overviews},
pubstate = {published},
tppubtype = {article}
}
Dvorak, J; McCrory, P; Aubry, M; Molloy, M; Engebretsen, L
Concussion sans frontieres Journal Article
In: British Journal of Sports Medicine, vol. 43 Suppl 1, pp. i1–2, 2009.
@article{Dvorak2009,
title = {Concussion sans frontieres},
author = {Dvorak, J and McCrory, P and Aubry, M and Molloy, M and Engebretsen, L},
year = {2009},
date = {2009-01-01},
journal = {British Journal of Sports Medicine},
volume = {43 Suppl 1},
pages = {i1--2},
keywords = {Overviews},
pubstate = {published},
tppubtype = {article}
}
Tator, Charles
Concussions are brain injuries and should be taken seriously Journal Article
In: Canadian Journal of Neurological Sciences, vol. 36, pp. 269–270, 2009.
@article{Tator2009,
title = {Concussions are brain injuries and should be taken seriously},
author = {Tator, Charles},
year = {2009},
date = {2009-01-01},
journal = {Canadian Journal of Neurological Sciences},
volume = {36},
pages = {269--270},
keywords = {Overviews},
pubstate = {published},
tppubtype = {article}
}
Davis, G; Marion, D; George, B; Hamel, O; Turner, M; McCrory, P
Clinics in neurology and neurosurgery of sport: traumatic cerebral contusion Journal Article
In: British Journal of Sports Medicine, vol. 43, pp. 451–454, 2009.
Links | BibTeX | Tags: Overviews
@article{Davis2009,
title = {Clinics in neurology and neurosurgery of sport: traumatic cerebral contusion},
author = {Davis, G and Marion, D and George, B and Hamel, O and Turner, M and McCrory, P},
doi = {10.1136/bjsm.2008.048256},
year = {2009},
date = {2009-01-01},
journal = {British Journal of Sports Medicine},
volume = {43},
pages = {451--454},
keywords = {Overviews},
pubstate = {published},
tppubtype = {article}
}
McCrory, P; Meeuwisse, W; Johnston, K; Dvorak, J; Aubry, M; Molloy, M; Cantu, R
Consensus statement on Concussion in Sport--the 3rd International Conference on Concussion in Sport held in Zurich, November 2008 Journal Article
In: Journal of Science & Medicine in Sport, vol. 12, pp. 340–351, 2009.
@article{McCrory2009c,
title = {Consensus statement on Concussion in Sport--the 3rd International Conference on Concussion in Sport held in Zurich, November 2008},
author = {McCrory, P and Meeuwisse, W and Johnston, K and Dvorak, J and Aubry, M and Molloy, M and Cantu, R},
year = {2009},
date = {2009-01-01},
journal = {Journal of Science \& Medicine in Sport},
volume = {12},
pages = {340--351},
address = {Centre for Health, Exercise \& Sports Medicine, University of Melbourne, Australia. paulmccr@bigpond.net.au},
keywords = {Overviews},
pubstate = {published},
tppubtype = {article}
}
Davis, Gavin A
Concussion in sport Journal Article
In: Journal of Clinical Neuroscience, vol. 16, pp. 731–732, 2009, ISSN: 0967-5868.
@article{Davis2009a,
title = {Concussion in sport},
author = {Davis, Gavin A},
issn = {0967-5868},
year = {2009},
date = {2009-01-01},
journal = {Journal of Clinical Neuroscience},
volume = {16},
pages = {731--732},
keywords = {Overviews},
pubstate = {published},
tppubtype = {article}
}
Denke, Nancy J
Brain injury in sports Journal Article
In: Journal of Emergency Nursing, vol. 34, pp. 363–364, 2008.
@article{Denke2008,
title = {Brain injury in sports},
author = {Denke, Nancy J},
year = {2008},
date = {2008-01-01},
journal = {Journal of Emergency Nursing},
volume = {34},
pages = {363--364},
address = {Scottsdale Healthcare Osborn-Trauma Department, 12641 N 113th Way, Scottsdale, AZ 85259, USA. ndenke@shc.org},
keywords = {Overviews},
pubstate = {published},
tppubtype = {article}
}